Documentation guide
Let’s gather what you’ll need
These checklists are a practical starting point. Exact requirements depend on the member, requested item, payer, and current authorization guidance.
Incontinence supplies
- Current prescription or physician order
- Medical records supporting medical necessity
- Adult HCA-52A or applicable age-specific form
- Product type, size, quantity, and current usage
- Prior authorization documentation when required
Bathroom safety equipment
- Prescription identifying the requested equipment
- Medical records describing mobility or safety limitations
- Member height, weight, and equipment capacity needs
- Bathroom or installation details when relevant
- Prior authorization and manual-pricing support when applicable
Nutritional products
- Prescription specifying formula and daily quantity
- Diagnosis and records supporting nutritional need
- Calories, method of administration, and unit information
- Current weight or nutritional assessment when applicable
- Program-specific authorization documentation
Personal emergency response systems
- Member safety need and service-plan authorization
- Correct service provider selection for iMed Alert Systems
- Member address, phone, emergency contacts, and device preference
- Current ADvantage documentation and Harmony requirements
Do not submit member details through this public website.
Medicaid & ADvantage Waiver
Making the next steps a little easier
Use this overview to understand the typical workflow. Always confirm current coverage, documentation, authorization, and service-plan requirements for the individual member.
Typical workflow
Here’s what the process usually looks like
- Identify the member’s need
Select the service category, product type, size, capacity, and important considerations. - Check SoonerCare requirements
Confirm coverage, documentation, quantity limits, modifiers, and prior authorization. - Gather supporting documentation
Coordinate prescriptions, medical records, forms, and supporting information. - Review the ADvantage pathway
Review authorization and service-plan requirements when applicable.
SoonerCare / Title XIX
Working through SoonerCare coverage
- Coverage depends on medical necessity and member eligibility.
- Prescription, medical records, and prior authorization may be required.
- Published DMEPOS rates may differ for rural and non-rural services.
- Some HCPCS codes are manually priced.
ADvantage Waiver
Support through the ADvantage Waiver
- Services support eligible adults living safely in the community.
- Requests must align with assessed need and the service plan.
- Program-specific authorization and provider requirements may apply.
- Contact iMed for product and documentation guidance.