Cranial Remolding Orthosis
All requests for Cranial Remolding Orthosis (CRO) must be medically necessary and require prior authorization.
Documentation Requirements for Prior Authorization Requests:
- Medical Records – including diagnosis, history of treatment, assessment of severity and any other documentation supporting the request.
- Prior Authorization Request Form
Submit completed form to:
- Department of Social Services
Division of Medical Services
700 Governors Drive
Pierre, SD 57501
- Phone: 605-773-3495
- Fax: 605-773-5246