Letters of Medical Necessity
Letters of Medical Necessity
A letter of medical necessity (LMN) is a detailed prescription written by the child's therapist or physician and is included in the information submitted to the sources of funding.
The Letter of Medical Necessity should:
1. Provide details of the child: Who is this child medically, functionally, and socially?
- Include child's name, date of birth, diagnosis, onset, height and weight.
- Provide a brief, but complete description of the child's level of function (i.e. ambulation, transfers, ADL's, living environment, mobility, school and transportation).
- Describe the child's medical issues that will be affected by the Standing Dani® dynamic stander and outcomes expected (i.e.abnormal muscle tone and reflexes, range of motion, systemic functions, loss of bone density, etc).
2. Explain how the Standing Dani® dynamic stander will help achieve functional goals and outcomes.
- What is the child's current therapy program at home and school?
- What are their functional goals?
- Explain how the equipment can replace other expenses and is cost-effective. This is critical for equipment that is new and/or more expensive than other accepted alternatives.
- What other medical intervention may be necessary if the child cannot receive a Standing Dani® dynamic stander (i.e. surgeries, bracing, etc.)?
3. Describe the trial use of the Standing Dani® dynamic stander.
- What types of standing technology were considered and rejected?
- What standers were trialed? Why was each trial either approved or rejected?
- What is the history of standing compliance?
4. Describe the recommendations for the Standing Dani® dynamic stander.
- Which model of Standing Dani® is being recommended and why?
- What options/accessories are being recommended and why?
- What is the prescribed standing program (i.e. minutes/hours per day, days per week)?
5. Include supporting material & media
- Include photos or videos to convey the information along with written documentation.
- Include supporting documents: clinical studies, research, and a resource list.