Oregon Health Plan uses this justification when a fee-for-service member needs a standing positioner, or stander, approved through prior authorization. The treating physical or occupational therapist and the prescribing practitioner document the clinical reasons for the device. It is attached to the MSC 3971 prior authorization request that OHA reviews.
The treating physical or occupational therapist completes the clinical justification with the prescribing practitioner. The requesting provider files it with the prior authorization request.
Download the current version from the source each time; forms change without notice.
Positioner Justification - Positioners for Standing
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The treating physical or occupational therapist and the prescribing practitioner. They document why the member needs a standing positioner, and the requesting provider attaches the form to the fee-for-service prior authorization request on the MSC 3971 or in the OHA Provider Portal.
OHA no longer calls providers with prior authorization status. Use the PA Inquiry function in the Provider Portal or review the notices OHA mails. If notices are not arriving, the mailing address can be updated through Provider Enrollment.