Medicaid Requirements for Cubby Bed Coverage
Your role is critical in obtaining insurance coverage for a Cubby Bed. We want to make this process easier.
This page explains the general steps for insurance approval in your state and who can help along the way. Understanding these requirements will ensure smoother communication, timely submissions, and increase the likelihood of coverage.
Alabama Medicaid
- Schedule an appointment with your loved one’s doctor.
- Before your visit, print both the Alabama Medicaid Referral Form and the Prescription and Written Order Form in the Required Documents Packet. If you do not have access to a printer, ask the provider to print them for you at the appointment.
- Discuss the medical need for a Cubby Bed during your visit and ask the doctor to fill out the printed forms.
- Obtain a Letter of Medical Necessity (LMN). It is highly recommended that it be written by an Occupational Therapist (OT) or Physical Therapist (PT). If you do not have access to an OT or PT, consult with your chosen Medical Supplier (see next step), or if necessary, a physician can write the LMN. Use our Safety Needs and Concerns Worksheet to write down your child’s safety concerns and any other solutions you’ve tried that didn’t work. The level of detail you provide is crucial to ensure your medical documents fully capture your loved one's need for a Cubby Bed.
- Locate a Medical Supplier that carries Cubby Beds and accepts your insurance.
- Follow up with the medical supplier: Confirm they’ve received all the necessary documents and ensure they’ve submitted your request to Medicaid.
- For more information on how to get a Cubby Bed, visit our website.
- Complete the Prescription and Written Order Form, which is included in the Required Documents Packet.
- Fill out your portion of the Alabama Medicaid Referral Form.
- Once your patient has partnered with a medical supplier, please send these documents directly to that supplier. You may need to work with the supplier to provide revisions or additional paperwork that insurance requests for the authorization process or for appealing a denial.
- Work with the family to write a Letter of Medical Necessity (LMN). Use the guidance provided in the Required Documents Packet for the details that need to be included.
- Alabama requires the Letter of Medical Necessity (LMN) to also include a monitoring plan with the following details:
- The patient will be checked/monitored every 3 hours while in bed.
- The approximate time frame the bed will be used and how the user will be monitored.
- Document if there has been harm or potential harm to the patient.
- Once your patient has partnered with a medical supplier, please send the LMN directly to that supplier. You may need to work with the supplier to provide revisions or additional paperwork that insurance requests for the authorization process or for appealing a denial.
- The medical supplier must receive the prescription, Alabama Medicaid Referral form, and the Letter of Medical Necessity (LMN) within 90 days of the date they are signed.
- Communicate regularly with the family and providers to improve the chance of approval.
California Medicaid
- Schedule an appointment with your loved one’s doctor.
- Before your visit, print the Prescription and Written Order Form in the Required Documents Packet. If you do not have access to a printer, ask the provider to print it for you at the appointment.
- Discuss the medical need for a Cubby Bed during your visit and ask the doctor to fill out the printed Prescription and Written Order Form.
- Obtain a Letter of Medical Necessity (LMN). It is highly recommended that it be written by an Occupational Therapist (OT) or Physical Therapist (PT). If you do not have access to an OT or PT, consult with your chosen Medical Supplier (see next step), or if necessary, a physician can write the LMN. Use our Safety Needs and Concerns Worksheet to write down your child’s safety concerns and any other solutions you’ve tried that didn’t work. The level of detail you provide is crucial to ensure your medical documents fully capture your loved one's need for a Cubby Bed.
- Locate a Medical Supplier that carries Cubby Beds and accepts your insurance.
- Follow up with the medical supplier: Confirm they’ve received all the necessary documents and ensure they’ve submitted your request to Medicaid.
- For more information on how to get a Cubby Bed, visit our website.
- Complete the Prescription and Written Order Form, which is included in the Required Documents Packet.
- Provide chart notes from the most recent face-to-face visit that clearly explain why the patient was seen and the medical necessity of the Cubby Bed.
- Once your patient has partnered with a medical supplier, please send this document directly to that supplier. You may need to work with the supplier to provide revisions or additional paperwork that insurance requests for the authorization process, such as the State of California Certificate of Medical Necessity form, or for appealing a denial.
- Work with the family to write a Letter of Medical Necessity (LMN). Use the guidance provided in the Required Documents Packet for the details that need to be included.
- Once your patient has partnered with a medical supplier, please send the LMN directly to that supplier. You may need to work with the supplier to provide revisions or additional paperwork that insurance requests for the authorization process or for appealing a denial.
- California requires the DHCS 6181 Certificate of Medical Necessity in addition to the prescription and letter of medical necessity.
- Communicate regularly with the family and providers to improve the chance of approval.
Kentucky Medicaid
- Schedule an appointment with your loved one’s doctor.
- Before your visit, print the Prescription and Written Order Form in the Required Documents Packet. If you do not have access to a printer, ask the provider to print it for you at the appointment.
- Discuss the medical need for a Cubby Bed during your visit and ask the doctor to fill out the printed Prescription and Written Order Form.
- Obtain a Letter of Medical Necessity (LMN). It is highly recommended that it be written by an Occupational Therapist (OT) or Physical Therapist (PT). If you do not have access to an OT or PT, consult with your chosen Medical Supplier (see next step), or if necessary, a physician can write the LMN. Use our Safety Needs and Concerns Worksheet to write down your child’s safety concerns and any other solutions you’ve tried that didn’t work. The level of detail you provide is crucial to ensure your medical documents fully capture your loved one's need for a Cubby Bed.
- Locate a Medical Supplier that carries Cubby Beds and accepts your insurance.
- Follow up with the medical supplier: Confirm they’ve received all the necessary documents and ensure they’ve submitted your request to Medicaid.
- For more information on how to get a Cubby Bed, visit our website.
- Complete the Prescription and Written Order Form, which is included in the Required Documents Packet.
- Once your patient has partnered with a medical supplier, please send these documents directly to that supplier. You may need to work with the supplier to provide revisions or additional paperwork that insurance requests for the authorization process or for appealing a denial.
- The medical supplier will request your signature on the Certificate of Medical Necessity form that they will provide to you.
- Work with the family to write a Letter of Medical Necessity (LMN). Use the guidance provided in the Required Documents Packet for the details that need to be included.
- Once your patient has partnered with a medical supplier, please send the LMN directly to that supplier. You may need to work with the supplier to provide revisions or additional paperwork that insurance requests for the authorization process or for appealing a denial.
- Medicaid policy states the prescriber shall examine a recipient within sixty (60) calendar days prior to the initial order of medical equipment.
- Kentucky Medicaid requires a Certificate of Medical Necessity (MAP-1000) to be submitted with the prior authorization.
- Communicate regularly with the family and providers to improve the chance of approval.
Michigan Medicaid
- Schedule an appointment with your loved one’s doctor.
- Before your visit, print the Prescription and Written Order Form in the Required Documents Packet. If you do not have access to a printer, ask the provider to print it for you at the appointment.
- Discuss the medical need for a Cubby Bed during your visit and ask the doctor to fill out the printed Prescription and Written Order Form.
- Obtain a Letter of Medical Necessity (LMN). It is highly recommended that it be written by an Occupational Therapist (OT) or Physical Therapist (PT). If you do not have access to an OT or PT, consult with your chosen Medical Supplier (see next step), or if necessary, a physician can write the LMN. Use our Safety Needs and Concerns Worksheet to write down your child’s safety concerns and any other solutions you’ve tried that didn’t work. The level of detail you provide is crucial to ensure your medical documents fully capture your loved one's need for a Cubby Bed.
- Medicaid policy states that enclosed bed systems are not covered when the purpose is to restrain the beneficiary due to behavioral conditions, caregiver need or convenience. Therefore it is important to document medical necessity with great detail.
- Locate a Medical Supplier that carries Cubby Beds and accepts your insurance.
- Follow up with the medical supplier: Confirm they’ve received all the necessary documents and ensure they’ve submitted your request to Medicaid.
- For more information on how to get a Cubby Bed, visit our website.
- Complete the Prescription and Written Order Form, which is included in the Required Documents Packet.
- Once your patient has partnered with a medical supplier, please send this document directly to that supplier. You may need to work with the supplier to provide revisions or additional paperwork that insurance requests for the authorization process or for appealing a denial.
- Work with the family to write a Letter of Medical Necessity (LMN). Use the guidance provided in the Required Documents Packet for the details that need to be included.
- Medicaid policy states that enclosed bed systems are not covered when the purpose is to restrain the beneficiary due to behavioral conditions, caregiver need or convenience. Therefore it is critical to document medical necessity in great detail, to increase the chance of coverage.
- Once your patient has partnered with a medical supplier, please send the LMN directly to that supplier. You may need to work with the supplier to provide revisions or additional paperwork that insurance requests for the authorization process or for appealing a denial.
- The MSA-1653-B Prior Approval-Request/Authorization form must be submitted.
- Communicate regularly with the family and providers to improve the chance of approval.
Minnesota Medicaid
- Schedule an appointment with your loved one’s doctor.
- Before your visit, print the Prescription and Written Order Form in the Required Documents Packet. If you do not have access to a printer, ask the provider to print it for you at the appointment.
- Discuss the medical need for a Cubby Bed during your visit and ask the doctor to fill out the printed Prescription and Written Order Form.
- Obtain a Letter of Medical Necessity (LMN) from an Occupational Therapist (OT) or Behavioral Therapist (BCBA). An LMN written by a physician will NOT be accepted. If you do not have access to an OT or BCBA, consult with your chosen Medical Supplier (see next step). Use our Safety Needs and Concerns Worksheet to write down your child’s safety concerns and any other solutions you’ve tried that didn’t work. The level of detail you provide is crucial to ensure your medical documents fully capture your loved one's need for a Cubby Bed.
- Locate a Medical Supplier that carries Cubby Beds and accepts your insurance.
- Follow up with the medical supplier: Confirm they’ve received all the necessary documents and ensure they’ve submitted your request to Medicaid.
- For more information on how to get a Cubby Bed, visit our website.
- Complete the Prescription and Written Order Form, which is included in the Required Documents Packet.
- Explain the significance of a Letter of Medical Necessity (LMN) to the patient, so they have a plan to obtain one. Minnesota Medicaid requires the letter to be written by an OT or BCBA, and will NOT be accepted by a physician.
- Once your patient has partnered with a medical supplier, please send the Prescription and Written Order Form directly to the supplier. You may need to work with the supplier to provide revisions or additional paperwork that insurance requests for the authorization process or for appealing a denial.
- You will be required to sign the Enclosed Medical Bed Authorization Form that the medical supplier will provide to you.
- Work with the family to write a Letter of Medical Necessity (LMN). Use the guidance provided in the Required Documents Packet for the details that need to be included.
- Once your patient has partnered with a medical supplier, please send the LMN directly to that supplier. You may need to work with the supplier to provide revisions or additional paperwork that insurance requests for the authorization process or for appealing a denial.
- You will be required to sign the Enclosed Medical Bed Authorization Form that the medical supplier will provide to you.
- You are required to submit the Enclosed Medical Bed Authorization Form and have it signed by the evaluating OT/PT as well as the prescribing provider.
- Communicate regularly with the family and providers to improve the chance of approval.
South Carolina Medicaid
- Schedule an appointment with your loved one’s doctor.
- Before your visit, print the Prescription and Written Order Form in the Required Documents Packet. If you do not have access to a printer, ask the provider to print it for you at the appointment.
- Discuss the medical need for a Cubby Bed during your visit and ask the doctor to fill out the printed Prescription and Written Order Form.
- Obtain a Letter of Medical Necessity (LMN). It is highly recommended that it be written by an Occupational Therapist (OT) or Physical Therapist (PT). If you do not have access to an OT or PT, consult with your chosen Medical Supplier (see next step), or if necessary, a physician can write the LMN. Use our Safety Needs and Concerns Worksheet to write down your child’s safety concerns and any other solutions you’ve tried that didn’t work. The level of detail you provide is crucial to ensure your medical documents fully capture your loved one's need for a Cubby Bed.
- Locate a Medical Supplier that carries Cubby Beds and accepts your insurance. (You should find a supplier shortly after you schedule the doctor’s appointment.)
- Follow up with the medical supplier: Confirm they’ve received all the necessary documents and ensure they’ve submitted your request to Medicaid.
- For more information on how to get a Cubby Bed, visit our website.
- Complete the Prescription and Written Order Form, which is included in the Required Documents Packet.
- Once your patient has partnered with a medical supplier, please send the Prescription and Written Order Form directly to that supplier.
- You will be asked to sign the Medicaid Certificate of Medical Necessity (MCMN) by the supplier. You may also need to work with the supplier to provide revisions or additional paperwork that insurance requests for the authorization process or for appealing a denial.
- Work with the family to write a Letter of Medical Necessity (LMN). Use the guidance provided in the Required Documents Packet for the details that need to be included.
- Once your patient has partnered with a medical supplier, please send the LMN directly to that supplier. You may need to work with the supplier to provide revisions or additional paperwork that insurance requests for the authorization process or for appealing a denial.
- The medical supplier must receive the prescription and Letter of Medical Necessity (LMN) within 90 days of the date they are signed.
- South Carolina requires the Medicaid Certificate of Medical Necessity (MCMN) form to be signed by the ordering physician and supplier.
- Communicate regularly with the family and providers to improve the chance of approval.
All Other States
We are actively working to provide detailed insurance guidance for every state. In the meantime, if your state isn't listed separately, please use the information here as a general reference to help you navigate the insurance coverage process for a Cubby Bed.
- Schedule an appointment with your loved one’s doctor.
- Before your visit, print the Prescription and Written Order Form in the Required Documents Packet. If you do not have access to a printer, ask the provider to print it for you at the appointment.
- Discuss the medical need for a Cubby Bed during your visit and ask the doctor to fill out the printed Prescription and Written Order Form.
- Obtain a Letter of Medical Necessity (LMN). It is highly recommended that it be written by an Occupational Therapist (OT) or Physical Therapist (PT). If you do not have access to an OT or PT, consult with your chosen Medical Supplier (see next step), or if necessary, a physician can write the LMN. Use our Safety Needs and Concerns Worksheet to write down your child’s safety concerns and any other solutions you’ve tried that didn’t work. The level of detail you provide is crucial to ensure your medical documents fully capture your loved one's need for a Cubby Bed.
- Locate a Medical Supplier that carries Cubby Beds and accepts your insurance.
- Follow up with the medical supplier: Confirm they’ve received all the necessary documents and ensure they’ve submitted your request to Medicaid.
- For more information on how to get a Cubby Bed, visit our website.
- Complete the Prescription and Written Order Form, which is included in the Required Documents Packet.
- Once your patient has partnered with a medical supplier, please send these documents directly to that supplier. You may need to work with the supplier to provide revisions or additional paperwork that insurance requests for the authorization process or for appealing a denial.
- Work with the family to write a Letter of Medical Necessity (LMN). Use the guidance provided in the Required Documents Packet for the details that need to be included.
- Once your patient has partnered with a medical supplier, please send the LMN directly to that supplier. You may need to work with the supplier to provide revisions or additional paperwork that insurance requests for the authorization process or for appealing a denial.
- Communicate regularly with the family and providers to improve the chance of approval.