Durable Medical Equipment
Overview
The following listing, based upon the Healthcare Common Procedure Coding System (HCPCS), describes equipment and supplies, coverage limitations, and service authorization (SA) requirements. The DME Listing HCPCS codes must be used for all Medicaid claims, regardless of whether Medicare uses the same HCPCS code for the item. Service authorization by Medicaid is not required when Medicare is the primary payer. Reimbursement for Medicare crossover claims will be made in accordance with established Medicare HCPCS codes and guidelines.
Appendix B
Medicaid Durable Medical Equipment and Supplies and Listing
- Appendix B 1 Apnea, Respiratory, Oxygen and Vents January 2023
- Appendix B 2 Bandages, Dressings, Gauze, and Tape January 2023
- Appendix B 3 Bed Pans, Urinals, Incontinence, Catheters, and Irrigation Equip and Supplies January 2023
- Appendix B 4 Beds, Mattresses, and Accessories January 2023
- Appendix B 5 Burn Garments January 2023
- Appendix B 6 Canes, Crutches, and Walkers January 2023
- Appendix B 7 Communication Devices January 2023
- Appendix B 8 Decubitus and Ulcer Products January 2023
- Appendix B 9 Diabetic Products January 2023
- Appendix B 10 Dialysis Equipment and Supplies January 2023
- Appendix B 11 Dry Heat Application, TENS, NMES January 2023
- Appendix B 12 Elastic Support Items January 2023
- Appendix B 13 EPSDT Only January 2023
- Appendix B 14 Feeding Pumps, Nutritional Supplements, Feeding Kits, and Tubes January 2023
- Appendix B 15 I.V. Services Day Rate, Stands, Needles, and Supplies January 2023
- Appendix B 16 Miscellaneous Durable and Expendable Supplies January 2023
- Appendix B 17 Orthotics January 2023
- Appendix B 18 Ostomy and Colostomy Pouches January 2023
- Appendix B 19 Traction Equipment January 2023
- Appendix B 20 Wheelchairs and Accessories January 2023
- Appendix B 21 Excel Version with all Categories of Appendix B January 2023
Durable Medical Equipment
Training
Provides an overview of the changes to Chapter 4 and 6 of the DME manual