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www.FinneganHealth.com | 1-888-789-6600
Pediatric Medical Supplies
& AR Medicaid
An Educational In-Service for Doctors and Nurses
Medical Professionals, What are YOUR Needs?
•Taking care of your patient is our No. 1
•Arkansas Medicaid, Medicare, and Private Insurances are tricky
•So many rules and regulations about Medical Supplies
•Finnegan Health Services is the expert to help you serve your patient
What do you mean by “Medical Supplies?”
When we say Medical Supplies, (all DME), we mean:
• incontinence
• catheters
• ostomy
• enteral feeding
• tracheostomy
• wound care
• diabetic supplies
Disposable Medical Supplies Include:
Disposable Medical Supplies:
• diapers, pull-ups, bladder pads, and bed pads
• catheters and drainage bags
• all ostomy products
• enteral feeding and oral nutrition
• tracheostomy products
• wound care products (not saline)
What else can Finnegan Health provide?
• Bath Safety Equipment:
Bath Benches, Shower Stools, Bath Chairs, Shower Sprayers, Transfer Benches, etc
• Medicaid Waiver products:
Case managers can Fax/Email the patient’s needs and we will submit a bid
What else will Full Arkansas Medicaid cover?
Full Arkansas Medicaid (not ARKids First, also known as ARKids B):
• $130 incontinence supplies (one month) from age 3-21 years
AND
• $250 medical supplies (one month) age dependent on supplies
What if the child doesn’t have Full Medicaid?
• ARKids First, or ARKids B, covers $125 worth of medical supplies monthly.
DOES NOT include incontinence supplies
• Extension of Benefits is possible but not guaranteed
Enteral and Oral Nutrition Patients
• Child must be 5 years old or WIC must provide
• 21 years and older, only covers tube-fed formulas
• No dollar limit to formula but maxed at 30 units per day/3,000 calories
• Determined by caloric need
• Medical records are required annually and a PA is required every 6 months.
More notes on Speciality Formulas
• Speciality formulas prescribable until 21st birthday
• For drinking, eating, or tube-feeding
• If the child is not tube-fed, Finnegan is required to have an EPSDT on file
• Thickeners do not require an EPSDT but do require a prescription
• Limited to 16 units per date of service
What does Medicaid Require in an Rx?
• Medicaid only recognizes an MD or DO’s signature on a prescription.
• APN, RN, or any other signature is not valid for medical supply fulfillment.
• Every change for size, quantity, frequency, etc. requires a new prescription.
• MEDICAID’S RULE, NOT OURS!
Why Choose Finnegan Health Services?
• Our patients give us a 98% Customer Satisfaction Rate.
• We ship to your patient’s door Statewide for FREE.
• We value your relationship with your patient as much as our own.
• We value your time and effort.
• We are here to make your job easier.
www.FinneganHealth.com | 1-888-789-6600
Thank You.

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Arkansas Medicaid Coverage Education for Doctors and Nurses

  • 1. www.FinneganHealth.com | 1-888-789-6600 Pediatric Medical Supplies & AR Medicaid An Educational In-Service for Doctors and Nurses
  • 2. Medical Professionals, What are YOUR Needs? •Taking care of your patient is our No. 1 •Arkansas Medicaid, Medicare, and Private Insurances are tricky •So many rules and regulations about Medical Supplies •Finnegan Health Services is the expert to help you serve your patient
  • 3. What do you mean by “Medical Supplies?” When we say Medical Supplies, (all DME), we mean: • incontinence • catheters • ostomy • enteral feeding • tracheostomy • wound care • diabetic supplies
  • 4. Disposable Medical Supplies Include: Disposable Medical Supplies: • diapers, pull-ups, bladder pads, and bed pads • catheters and drainage bags • all ostomy products • enteral feeding and oral nutrition • tracheostomy products • wound care products (not saline)
  • 5. What else can Finnegan Health provide? • Bath Safety Equipment: Bath Benches, Shower Stools, Bath Chairs, Shower Sprayers, Transfer Benches, etc • Medicaid Waiver products: Case managers can Fax/Email the patient’s needs and we will submit a bid
  • 6. What else will Full Arkansas Medicaid cover? Full Arkansas Medicaid (not ARKids First, also known as ARKids B): • $130 incontinence supplies (one month) from age 3-21 years AND • $250 medical supplies (one month) age dependent on supplies
  • 7. What if the child doesn’t have Full Medicaid? • ARKids First, or ARKids B, covers $125 worth of medical supplies monthly. DOES NOT include incontinence supplies • Extension of Benefits is possible but not guaranteed
  • 8. Enteral and Oral Nutrition Patients • Child must be 5 years old or WIC must provide • 21 years and older, only covers tube-fed formulas • No dollar limit to formula but maxed at 30 units per day/3,000 calories • Determined by caloric need • Medical records are required annually and a PA is required every 6 months.
  • 9. More notes on Speciality Formulas • Speciality formulas prescribable until 21st birthday • For drinking, eating, or tube-feeding • If the child is not tube-fed, Finnegan is required to have an EPSDT on file • Thickeners do not require an EPSDT but do require a prescription • Limited to 16 units per date of service
  • 10. What does Medicaid Require in an Rx? • Medicaid only recognizes an MD or DO’s signature on a prescription. • APN, RN, or any other signature is not valid for medical supply fulfillment. • Every change for size, quantity, frequency, etc. requires a new prescription. • MEDICAID’S RULE, NOT OURS!
  • 11. Why Choose Finnegan Health Services? • Our patients give us a 98% Customer Satisfaction Rate. • We ship to your patient’s door Statewide for FREE. • We value your relationship with your patient as much as our own. • We value your time and effort. • We are here to make your job easier.
  • 12.
  • 13.