24-133 Use Our Preferred Vendors for DME and Incontinence Medical Supplies
Date: 02/06/24
Refer members to a Community Health Plan of Imperial Valley preferred vendor to obtain DME
Members who transitioned from California Health & Wellness Plan (CHWP) to Health Net may continue to receive durable medical equipment (DME) and incontinence medical supplies through Health Net’s, on behalf of Community Health Plan of Imperial Valley’s, preferred network vendors.
As a reminder, effective January 1, 2024, CHWP is no longer a Medi-Cal plan. Members enrolled with CHWP have been automatically enrolled in a new Medi-Cal health plan according to the county they live in. Members in Imperial county were transitioned to Community Health Plan of Imperial Valley. This change does not affect members’ Medi-Cal coverage or benefits.
Providers must ensure members can access the care they need by referring members to a preferred vendor for DME and incontinence medical supplies.
See below for preferred vendor contact information for DME and incontinence medical supplies.
DME
DME is a covered benefit and subject to prior authorization and coordination. More information is available in the Provider Library > Durable Medical Equipment.
Supplies | Vendor | Contact |
|---|---|---|
| DME | Apria Healthcare Inc. | |
| DME | Lincare Inc. | |
| DME | SuperCare Inc. | |
| DME | Western Drug Medical Supply | |
| Custom rehabilitation equipment services | ATG Rehab Specialists Inc. | |
| Custom rehabilitation equipment services | Custom Rehab Network | |
| Custom rehabilitation equipment services | Hoveround Inc | |
| Custom rehabilitation equipment services | National Seating and Mobility | |
| Insulin pumps and supplies | Animas Diabetes Care LLC | |
| Insulin pumps and supplies | MiniMed Distribution Corp Inc. | |
| Insulin pumps and supplies | Roche | |
| Orthotics and prosthetics | Linkia LLC |
Incontinence medical supplies
Incontinence medical supplies are covered when prescribed by licensed, in-network providers within their scope of practice for the treatment of members who are incontinent. Incontinence medical supplies include disposable diapers, protective underwear (pull-on products), underpads, belted undergarments, shields, liners, pants and pad systems, pads, and reusable underwear. Health Net contracts with the following vendors to provide these supplies. More information is available in the Provider Library > Incontinence.
Supplies | Vendor | Contact |
|---|---|---|
Incontinence medical supplies | Byram Healthcare Centers, Inc. | |
J&B Medical Supply Company Inc | ||
Medline Industries, Inc. |
Additional Information
Providers are encouraged to access the provider portal for real-time information, including eligibility verification, claims status, prior authorization status, plan summaries, and more.
If you have questions regarding the information contained in this update, contact Community Health Plan of Imperial Valley at 833-236-4141.
This information applies to Physicians, Participating Physician Groups (PPGs), Hospitals, Ancillary Providers, Community Supports (CS) Providers, and Enhanced Care Management (ECM) Providers.
This information applies to Medi-Cal in Imperial county.