Support Surfaces (Low Air Loss Mattresses)

 Check Out Our Support Surfaces

    Ohio Medicaid:

Group One - Preventive

• These are usually a mattress overlay or a foam mattress replacement.  They may be covered if a patient is completely immobile, OR has limited mobility or any stage ulcer on the trunk or pelvic along with at least one of the following:
• • Impaired nutritional status
  • Incontinence
  • Altered sensory perception
  • Compromised circulatory status

Group Two – Therapeutic

• Usually a powered pressure reducing mattress (such as air loss, alternating pressure) that can be placed directly on a hospital bed frame.  It may be covered if the patient has:
• • Multiple Stage II ulcers on trunk or pelvis, and
  • Previous month of treatment on a Group I, and ulcers that has worsened or remained the same in the past month OR
  • Large or multiple Stage II ulcers on trunk of pelvic, and
  • Recent flap or graft surgery for an ulcer on the trunk or pelvis (60 days), and
  • Previous use of a Group II or III surface immediately prior to a recent discharge from a facility (30 days).

• Documentation – Medicaid CMN and about 21 pieces of documentation. Prior Authorization is required.

    Medicare:

Group One – Preventive

• These are usually a mattress overlay or a foam mattress replacement.  They may be covered if a patient is completely immobile, OR has limited mobility or any stage ulcer on the trunk or pelvic along with at least one of the following:
• • Impaired nutritional status
  • Incontinence
  • Altered sensory perception
  • Compromised circulatory status

Group Two – Therapeutic

• Usually a powered pressure reducing mattress (such as air loss, alternating pressure) that can be placed directly on a hospital bed frame.  It may be covered if the patient has:
• • Multiple Stage II ulcers on trunk or pelvis, and
  • Previous month of treatment on a Group I, and ulcers that has worsened or remained the same in the past month OR
  • Large or multiple Stage II ulcers on trunk of pelvic, and
  • Recent flap or graft surgery for an ulcer on the trunk or pelvis (60 days), and
  • Previous use of a Group II or III surface immediately prior to a recent discharge from a facility (30 days).

• Documentation – Written order and a CMN.
  

For More Information on Products and Coverage

Contact Kristina: (216) 252-3900 x 218  or  kristinam@healthaidofohio.com