Wyoming Medicaid

Requirements: B4100 is considered medically necessary when prescribed by his/her medical provider and the following diagnosis applies:
-Oropharyngeal dysphagia
-Reflux disease
-Any diagnosis that indicates child is at risk for life threatening aspiration

Resources / Links
Durable Medical Equipment, Prosthetics, Orthotics, and Medical Supplies (DMEPOS) Manual

Available Through DME Suppliers