Suction Pump, Respiratory/Gastric

Suction Pump, Respiratory/Gastric A. Medicaid defines a mobile or stationary home model suction pump as a lightweight, compact, electric aspirator designed for upper respiratory oral, pharyngeal and tracheal suction for use in the home. A suction device must be appropriate for home use without technical or professional supervision. B. Medicaid covers stationary home model suction pump for all beneficiaries when prior authorized by the Utilization Management and Quality Improvement Organization (UM/QIO), the Division of Medicaid or designated entity, for rental up to purchase amount, or purchase when indicated when ordered by a physician and if the beneficiary is unable to clear the airway of secretions by coughing secondary to, but not limited to, one (1) of the following: 1. Cancer or surgery of the throat, 2. Paralysis of the swallowing muscles, 3. Tracheostomy, or 4. Comatose or semicomatose condition. C. A mobile suction machine includes a vacuum regulator and is battery operated. The device includes a rechargeable battery and charger device, vehicle adapter cable, canister or bottle, connector and carrying case. Medicaid covers a mobile unit if all of the following apply: 1. Prescribed because the beneficiary is subject to secretions that require suctioning during travel. 2. The beneficiary is not being transported by an ambulance. 3. There is sufficient documentation to justify the medical necessity for both stationary and portable units. D. Medicaid requires those using the suction apparatus must be sufficiently trained to adequately, appropriately and safely use the device.