The member has a skin condition or other medical condition that prevents the application of conventional electrodes, tapes and lead wires.The area receiving stimulation is so large or the areas so numerous conventional electrodes, tapes and lead wires are not practical.Include information about the availability of caregivers to assist the member The area receiving stimulation is inaccessible to the member or caregivers with the use of conventional electrodes, tapes, and lead wires.MHCP will authorize the purchase of form-fitting conductive garments for use with TENS devices if one or more of the following criteria are met:. Supplies other than listed above for use with the TENS device are not covered.Īuthorization is required for purchase of a conductive garment A new order is not required unless the original order had an end date. Suppliers must verify the TENS device is still being used before dispensing TENS supplies or lead wires. Replacement lead wires are covered no more than twice per year. TENS supplies necessary for use of the TENS device for one month include, but are not limited to: Two sets of 2-lead TENS supplies are covered each month of use for members using a 4-lead (E0730) TENS device. One set of 2-lead TENS supplies is covered each month of use for members using a 2-lead (E0720) TENS device. Only TENS devices and conductive garments approved by the Food and Drug Administration (FDA) are covered. Price will cap at the cost of the device.Rental will be approved for 13 months at which point it will become the member’s property.Ĝan be converted to longer term use if medical necessity persists after 60 days.TENS devices are covered for MHCP members who meet the criteria of medical necessity due to acute or chronic pain. Providers must meet any provider criteria, including accreditation, for third-party insurance or for Medicare in order to assist members for whom Minnesota Health Care Programs (MHCP) is not the primary payer. The following providers may provide TENS units and related supplies: Electrodes placed on painful body parts send signals through electrical current to confuse a person’s pain receptors. Transcutaneous Electrical Nerve Stimulator (TENS)Ī transcutaneous electrical nerve stimulator (TENS) is a portable device that uses electrical current to decrease perception of pain.
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