F2F is REQUIRED and documentation must be provided to supplier

Valid Physician Order/Statement of Medical Necessity for Home Medical that contains:

- Beneficiary’s name

- Physician’s name, signature, NPI, and signature date

- Date of the order and the start date, if start date is different from the date of the order

Order to include: name of medication, compressor, and disposable nebulizer (1 month) or non-disposable nebulizer (6 month)

Chart notes documenting that:

- It is reasonable and necessary in order to deliver prescribed medications for management of diagnosis related to: obstructive pulmonary disease, cystic fibrosis, bronchiectasis, HIV, pneumocystosis, pulmonary hypertension.