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  • Application For Durable Medical Equipment (dme) - Oklahoma Able ...

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7/28/2017Application for Durable Medical Equipment (DME) FormstackApplication for Durable Medical Equipment (DME) Oklahoma ABLE Tech partners with The Oklahoma Health Care Authority (OHCA) to provide.

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How to fill out the Application For Durable Medical Equipment (DME) - Oklahoma ABLE online

This guide provides step-by-step instructions for users to complete the Application For Durable Medical Equipment (DME) through Oklahoma ABLE online. Ensuring you fill out this application accurately can help facilitate access to essential medical equipment.

Follow the steps to successfully complete your DME application.

  1. Click the ‘Get Form’ button to access the application form and open it in your editor.
  2. Begin by indicating your SoonerCare eligibility. Select 'Yes' or 'No' and, if applicable, provide your SoonerCare number.
  3. Please answer how you heard about the application by selecting one of the provided options.
  4. Fill in your personal information, including your name, birthdate, address, city, state, zip code, and contact information.
  5. Select the medical equipment you are requesting from the provided list. Note that certain items may require a prescription, for which you will need to upload the document.
  6. If applicable, upload your scanned prescription or evaluation report using the 'Choose File' button. Ensure the file size does not exceed 1MB.
  7. Indicate if the equipment will be for pediatric, adult, or bariatric use and specify whether it is an initial request or a replacement.
  8. Confirm that you have a doctor's prescription for the requested equipment and provide any additional required documentation.
  9. Complete the 'Customer Measurement' section as needed by providing your height, weight, and necessary wheelchair measurements.
  10. Review all provided information for accuracy before submitting. Ensure all required fields marked with an asterisk have been filled.
  11. Lastly, electronically sign the application by selecting the 'Submit' button, affirming that the information is accurate and complete.

Complete your Application For Durable Medical Equipment online today to ensure timely access to necessary medical supplies.

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Equipment and supplies ordered by a health care provider for everyday or extended use. Coverage for DME may include: oxygen equipment, wheelchairs, crutches or blood testing strips for diabetics.

(1) Medical supplies, equipment, and appliances are included in the member's plan, when prescribed by a physician with a SoonerCare contract, and arrangements for this service must be made through the member's case manager.

Durable medical equipment (DME) coverage Blood sugar meters. Blood sugar test strips. Canes. Commode chairs. Continuous passive motion machines, devices & accessories. Continuous Positive Airway Pressure (CPAP) machines. Crutches. Home infusion services.

SoonerCare's Durable Medical Equipment (DME) program covers items such as oxygen equipment and supplies, wheelchairs, walkers, and hospital beds ordered by your medical home for use in the home. These supplies can also be ordered by any health specialist contracted with SoonerCare.

Non-durable equipment – this includes disposable or non-permanent equipment such as gloves, rubber/plastic hose (used for equipment such as catheters and nebulizers that need regular replacement), syringes and more.

SoonerCare is the brand name given to Oklahoma's Medicaid program. Medicaid is a program that covers medical expenses for certain groups of people who have limited income and resources. The Oklahoma Health Care Authority is the state agency that administers the program.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232