This article is for durable medical equipment providers who supply special and metabolic formulas
We’re introducing a dedicated fax number to streamline prior authorization requests submitted by durable medical equipment (DME) providers for special foods and metabolic formulas.
Effective June 1, 2026, please fax all prior authorization requests for DME special foods under medical policy 304, Special Foods to our Clinical Intake team at 1-617-246-4805.
Why the new fax line
Using the new fax number speeds up the process by directly routing your request to our clinical review team, eliminating the need to first go through Pharmacy Operations.
Details you need to know
- Does this apply just to special foods? Yes, this new fax line should only be used by contracted DME providers for special foods requests under our medical policy 304. Please continue to send all other special foods requests to Pharmacy Operations.
- What is not changing? The clinical criteria for coverage in medical policy 304 remains unchanged.
- Action required: Update your systems/records with the new fax number and start using it on June 1, 2026.
Resources
- Medical policy 304, Special Foods
- Durable Medical Equipment payment policy
- To download our payment policies, log in and click Find a Payment Policy on the right side of your home page. Or go to Office Resources>Policies & Guidelines>Payment Policies.
Questions?
If you have questions, please contact odette.palmer.lee@bcbsma.com. As always, thank you for the care you provide to our members.
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