Prior Authorization (PA) no longer needed for enteral- and parenteral-related supplies

November 8, 2011

As of 10/24/2011, under adopted final rule for MaineCare Benefits Manual, Section 60, Medical Supplies and Durable Medical Equipment, all enteral and parenteral formulas require PA. Related supplies, however, no longer require PA as long as the member has PA for the enteral or parenteral formula.

Note: MaineCare will no longer allow use of procedure code B9999 as an all-inclusive package rate service. B9999 can only be used as defined in HCPCS manual.