Medi-Cal required form for foot orthoses -Responses

Medi-Cal required form for foot orthoses -Responses

Randall McFarland, CPO

Here's the ORIGINAL POST:
    Here in California, to provide foot orthoses for a straight Medi-Cal
client, we must submit a Biomechanical Morphological data charton the
client which has over 50 boxes to fill in on joint angles and ROMs from IP
joints to the hip. I'm wondering if this a common requirement throughout the
country or are we special?
    Randy McFarland, CPO

Thanks to those who sent the following RESPONSES:

I have never been asked to do that, not in 20+ years working in several
different states.

We have no such thing here. Straight Medicaid does not cover foot orthoses.

I've never seen one but would like to see what form they are using just as a
biomechanical assessment tool.

I think that the form you are speaking of is for use by a podiatrist only
and not O&P facilities. You should clarify this with EDS/Medical. Unless
they have tried to implement this in the last few months.....I believe that
you do not need to send this form in.

You sir, are very special!

    I have provided FO's to M-Cal patients but have not used the form you
made
reference to. I would like to have one faxed to me if you please.
    I haven't had any problems as long as the ICD 9's are associated with the
prescriptions as follows:
045.1
250.6
250.7
343.0
355.6
713.5
714.0
716.97
718.57
726.7-726.79
728.71
734.0
735.8
736.7
    Sometimes the deferred TAR gets to be annoying but with pictures and
physicians notes we do well (inspite of the delay of treatment).

I would love to see that form. Could you perhaps fax it to me (in your
spare
time!)??
We are looking into this issue in WA state.

No You must be special!!

You guys must be special and pretty good to figure out all of the angles they
are requesting. Personally I think the prescribing doctor should supply those
measurement. When New York Medicaid starts requiring that I will stop
supplying them.

The State of Texas pays for no O&P devices for those between 18 & Medicare,
period, end of discussion, zip.
   When I had talked to Texans even in the 80's that was the case also. We
just offer the folks the phone number to TRC (Texas Rehabilation Commission)
so they have some one to help them get off the welfare roles. They also have
the option of paying CASH or borrowing someones credit card. The county
hospital across the street from my office has a kitty that they can tap into
if and when they want to insure the patient gets the O or P device, but
that's rare. We have even been known to give something away free

never heard of this Thank GOD

We have no special data forms that are required for foot orthoses because
they are generally not a covered benefit under Texas' Medicaid program. The
exceptions in that coverage are usually related to specific (e.g. 755.67,
755.69, 754.5, 754.6) primary and/or secondary diagnoses.

In Mississippi and Louisiana we have nothing of the kind to fill out