Telligen, The Maryland Department of Health’s utilization control agent, is offering training sessions for DME providers. In addition to providing pertinent program information and updates, these sessions will cover recent system upgrades to Qualitrac, which will enhance processing of DME reviews. Please see the attached memorandum or go to the Education and Training page of this website for more information and to learn how to register.
When submitting requests for an E-fix, Telligen will only review the case IF it is in addition to a manual wheelchair request that is under review. All other E-Fix requests should still be submitted to DHMH.
NEW CODE – E1012 for the Center Mount Power Elevating Leg Rest went into effect 10/1/16. NOTE: THIS REPLACES CODE K0108.
Providers, please note that when a request is being reviewed for medical necessity and the item can be Rented or Purchased; Telligen may change the request from a Purchase to a Rental based on medical necessity.
Ultralight Wheelchairs – K0005
Telligen will now be processing requests for the Ultralight Wheelchairs – please submit these through the provider portal
Attention: For all facilities that are entering 3808 reviews (Prior Authorization, Concurrent, and/or Retrospective) through the Provider Portal, when you reach the Provider and Facility Search page, please use MA Number to search in the Treating Facility field. This will enable you to find the facility much quicker and confirm that you have found the correct facility.
