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 2022
Appendix B 2 Bandages, Dressings, Gauze, and Tape January 2022
Appendix B 4 Beds, Mattresses, and Accessories January 2022
Appendix B 5 Burn Garments January 2022
Appendix B 6 Canes, Crutches, and Walkers January 2022
Appendix B 7 Communication Devices January 2022
Appendix B 8 Decubitus and Ulcer Products January 2022
Appendix B 9 Diabetic Products January 2022
Appendix B 10 Dialysis Equipment and Supplies January 2022
Appendix B 11 Dry Heat Application, TENS, NMES January 2022
Appendix B 12 Elastic Support Items January 2022
Appendix B 13 EPSDT Only January 2022
Appendix B 14 Feeding Pumps, Nutritional Supplements, Feeding Kits, and Tubes January 2022
Appendix B 15 I.V. Services Day Rate, Stands, Needles, and Supplies January 2022
Appendix B 16 Miscellaneous Durable and Expendable Supplies January 2022
Appendix B 17 Orthotics January 2022
Appendix B 18 Ostomy and Colostomy Pouches January 2022
Appendix B 19 Traction Equipment January 2022
Appendix B 20 Wheelchairs and Accessories January 2022
Appendix B 21 Excel Version with all Categories of Appendix B January 2022
Training
Durable Medical Equipment
Provides an overview of the changes to Chapter 4 and 6 of the DME manual