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 F2F April 2021
Appendix B 2 Bandages, Dressings, Gauze, and Tape April 2021
Appendix B 4 Beds, Mattresses, and Accessories F2F April 2021
Appendix B 5 Burn Garments 2021
Appendix B 6 Canes, Crutches, and Walkers April 2021
Appendix B 7 Communication Devices 2021
Appendix B 8 Decubitus and Ulcer Products April 2021
Appendix B 9 Diabetic Products F2F April 2021
Appendix B 10 Dialysis Equipment And Supplies 2021
Appendix B 11 Dry Heat Application, TENS, NMES F2F April 2021
Appendix B 12 Elastic Support Items April 2021
Appendix B 13 EPSDT Only July 2021
Appendix B 14 Feeding Pumps, Nutritional Supplements, Feeding Kits, and Tubes April 2021
Appendix B 15 I.V. Services Day Rate, Stands, Needles, and Supplies F2F April 2021
Appendix B 16 Miscellaneous Durable and Expendable Supplies F2F July 2021
Appendix B 17 Orthotics April 2021
Appendix B 18 Ostomy And Colostomy Pouches 2021
Appendix B 19 Traction Equipment F2F April 2021
Appendix B 20 Wheelchairs And Accessories F2F July 2021
Appendix B 21 Excel Version With All Categories Of Appendix B July 2021
Training
Durable Medical Equipment
Provides an overview of the changes to Chapter 4 and 6 of the DME manual