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Get Msa 1656 2015-2024

W or REPLACEMENT mobility device(s) and seating systems. It must be submitted with the Complex Seating and Mobility Device Prior Approval - Request/Authorization (MSA-1653-D). The evaluation and justification must be submitted within 90 days of the date the evaluation was completed. The appropriate Addendum(s) must accompany the MSA-1656 & MSA-1653-D. BENEFICIARY INFORMATION: Complete beneficiary name, date of birth, sex, mihealth number, ordering physician and physician specialty. The beneficia.

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Keywords relevant to MI MSA-1656

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  • Ashworth
  • MSA-1653-D
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  • Hypertonia
  • WFL
  • npi
  • MMT
  • ADL
  • decubiti
  • beneficiarys
  • ambulates
  • ue
  • physiatrist
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