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Myoelectric upper limb prosthetic devices

Myoelectric prostheses for the upper limbs are a covered benefit with conditions.

Authorization requirements


Is authorization required?

How do I get pre-authorization?

Yes

L&I (State fund):
Contact the claim manager

By phone: To get the claim manager’s phone number, call the Claim Information line (1-800-831-5227)

By secure email: If you are the attending physician, IME, or concurrent care provider, log into to the Claims & Account Center (CAC)

Self-insured:
Contact the employer

Related information on coverage and treatment

Billing and payment policies

Related rules

 

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