IMMEDIATE (effective 2026-06-30): Billing team must implement the following: (1) Update billing system to REQUIRE a Standard Written Order (SWO) from a treating practitioner (MD, DO, PA, NP, or CNS only—NOT therapists/orthotists) before ANY claim is submitted for mechanical stretching devices (CPT 29126, 29131, 29505, 29515, 29105 and HCPCS E1800-E1831). Reject/block claims without completed SWO. (2) Verify SWO includes: member name/ID, order date, item description (HCPCS code, narrative, or brand/model), all separately billed accessories/options, HCPCS code and quantity per item, practitioner name/NPI, and practitioner signature. (3) Flag and DENY all claims for non-covered devices: JAS Elbow/Shoulder/Knee/Wrist, ERMI Knee/Ankle Flexionator, SaeboMas, Kinova mechanical arm support, Medi-Dyne Prostretch, JAS EZ, Elite Seat knee extension, EZ Turnbuckle orthosis for radial head ORIF, and any dynamic splinting for: carpal tunnel syndrome, cerebral palsy, foot drop, hallux valgus, head/spinal cord injury, botox outcomes, ankle/shoulder injuries, MS, muscular dystrophy, plantar fasciitis, rheumatoid arthritis, stroke, or trismus. (4) Require documented medical record evidence (NOT supplier statements or attestations alone) proving: (a) for sub-acute/post-op use: signs/symptoms of significant motion stiffness at least 3 weeks post-injury/surgery WITH concurrent OT/PT, OR (b) for repeat surgery: prior documented stiffness history, prior surgery to improve motion, NOW in acute post-op period after second/subsequent surgery. (5) For ongoing device use, require documented ROM improvement. Denials will result without compliant documentation and SWO. Coordinate with providers to educate on SWO completion and documentation requirements.