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...Prior authorization guide applies to members enrolled in the following my choice enteral and wisconsin health plan products parenteral partnership ssi managed nutrition therapy care dual advantage medicare coverage rationale covers when criteria are met refer national determination ncd for nutritional or medicaid basic conditions that must always be before services provided can covered by program patient is an active member of s appropriate payer a physician has ordered service billed not excluded from payment via tube feeding general hcpcs b may under if been diagnosed with one medical severe swallowing disorder due oral pharyngeal tissue injury trauma excoriation i e lesions mucositis structural defect pathology gastrointestinal gi tract prevents digestion absorption utilization nutrients cannot otherwise medically all clinical purpose condition chronic adequate possible dietary adjustment diet regular altered consistency table foods soft pureed beverages nutritionally sufficient req...