There have been questions from Medicare doctors and other health care professionals about whether they can request Durable Medical Equipment (DME) for their L.A. Care patients who are eligible for both Medi-Cal and Medicare.
The answer is – Yes!
You may request a DME prior authorization for your patients enrolled directly with L.A. Care for any of the Medi-Cal benefits and services that are medically necessary by completing a Pre-Authorization Request Form.
Once approved, the DME will be provided by an L.A. Care-contracted DME provider.
Completed forms and medical records to support medical necessity of the request must be faxed to 1-213-438-5777.
Click here for a complete list of Medi-Cal covered benefits and services.