Hospital Beds - DME.HC.111.A

Covers medically necessary hospital beds (fixed, variable‑height, semi‑electric, total electric), heavy‑duty/extra heavy‑duty beds, air‑fluidized beds, and positioning cushions when specific clinical needs are documented; items are excluded if required documentation/criteria (e.g., postural‑support need for cushions, special‑equipment attachment, weight thresholds, or adjustable‑height/positioning needs) are not met. Key requirements include written documentation of the precise indication (e.g., head‑of‑bed ≥30°, body positioning not feasible with a standard bed, need for adjustable height for transfers, frequent/urgent position changes, or weight >350/600 lbs), and for air‑fluidized beds additional documentation of stage 3–4 pressure ulcer, one month of failed conservative therapy with specified measures, caregiver availability and training, weekly licensed clinician evaluation, and monthly re‑certification/rental.

"Air-fluidized bed requires monthly re-evaluation and re-certification of need by the treating provider."