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Incontinence Benefit & Quantity Limitations

August 08, 2011

The utilization limitations for incontinence supplies have changed in accordance with the Department of Medical Assistance Programs (DMAP) new guidelines. Effective 8/1/2011, incontinence supplies in the HCPC range of T4521-T4535 are limited to 200 per month. Gloves are limited to 2 boxes per month. Services in excess of this amount will require prior authorization. For more information, please refer to the DMAP’s notice by clicking here