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DME Archive

• DME Policy Guidelines, Procedure Codes and Fee Schedule Updated (3/14/24, 151KB)
• A New Provider Communication is Available (3/14/24, 147KB)
• Addition of Parenteral Nutrition HCPCS B4187 (12/7/23, 138KB)
• A New Provider Communication is Available (11/30/23, 149KB)
• Clarification to Durable Medical Equipment, Orthotics, Prosthetics and Supplies (DMEPOS) Fiscal Order Acceptance Policy (10/26/23, 150KB)
• Information for Prescribing and Dispensing Providers of Enteral Products for Medicaid Members (10/23/23, 123KB)
• Updated Continuous Glucose Monitoring Criteria (10/3/23, 148KB)
• PRIOR AUTHORIZATIONS FOR MEDICAL SUPPLIES (7/7/23, 160KB)
• A Provider Manual has been Updated (6/30/23, 162KB)
• A DMEPOS Provider Communication is Now Available (6/27/23, 144KB)
• A DME Provider Communication is Now Available (6/13/2023, 142KB)
• A DMEPOS Provider Communication is Now Available (5/2/23, 321KB)
• Enteral Policy/Enteral Web Portal Training Webinar (4/19/23, 196KB)
• A Provider Communication is Now Available (4/17/23, 142KB)
• A New Webinar Presentation Has Been Posted (3/15/23, 152KB)
• Updated DME Provider Manuals And New Provider Communication (3/8/23, 151KB)
• ATTENTION: The Medicaid Enteral Web Portal Has Gone Live as of 3/2/23 (3/7/23, 168KB)
• Attention: NYS Medicaid Enteral Prior Authorization Enhancements - Web Portal Launch and Training Sessions (2/16/23, 203KB)
• A New Provider Communication is now Available (1/17/23, 163KB)
• DME Fee Schedule Updated (1/4/23, 165KB)
• A New Provider Communication is now Available (12/30/22, 162KB)
• DME Procedure Code Manual and Fee Schedule have been updated (5/4/22, 152KB)
• Fee for Service DMEPOS Medical Supply Quantity Update (2/17/22, 155KB)
• Updated Billing and Reimbursement Guidelines for HCPCS Code A4232 (9/17/21, 253KB)
• NYS COVID-19 State Disaster Emergency, Executive Order No. 202 (7/23/21, 270KB)
• Updated Billing and Reimbursement Guidelines for Negative Pressure Wound Therapy (HCPCS Code E2402) (5/28/21, 245KB)
• DME Provider Manuals & Fee Schedule Updated (5/28/21, 245KB)
• IVR Enteral PA Webinar has been posted (4/22/21, 240KB)
• Webinars for the Interactive Voice Response System (IVR) for Medicaid Fee for Service (FFS) Enteral Product Authorizations (3/24/21, 260KB)
• Uploading Documents to Prior Approvals Using ePACES (3/16/21, 253KB)
• A New Physician Provider Communication is Available (3/16/21, 240KB)
• An updated DMEPOS Policy Manual has been posted (2/10/21, 245KB)
• A New Provider Communication Is Available (1/12/21, 241KB)
• Attention: Pharmacies Durable Medical Equipment, Prosthetics, Orthotics and Supply Providers, and Prescribers That are Not Enrolled in Medicaid Fee-for-Service (FFS) (11/30/20, 293KB)
• DME Procedure Code and DME Fee Schedule (8/4/20, 245KB)
• A New Provider Communication Is Available (7/8/20, 239KB)
• Provider Communication for Automatic Blood Pressure Monitors (6/3/20, 236KB)
• A New Provider Communication Is Available (4/9/20, 247KB)
• Medicaid Changes to Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Policy (4/1/20, 247KB)
• Attention: Updated DME Fee Schedule (8/15/19, 154KB)
• Reminder: Webinar for the Revised Speech Generating Device Guidelines on August 15th (8/12/19, 162KB)
• A New Provider Communication is Available (6/27/19, 167KB)
• DMEPOS Procedure Code Manual and Fee Schedule Updates (6/27/19, 167KB)
• New Training Session Offered - ePACES DVS for DME Webinar (3/6/19, 160KB)
• A New Provider Communication Is Available (12/19/18, 154KB)
• A New Provider Communication Is Available (8/10/18, 154KB)
• DME Procedure Manual and Fee Schedule Updated (8/10/18, 154KB)
• A New DME Provider Communication Is Now Available (5/17/18, 153KB)
• Attention: Updated DME Fee Schedule (5/17/18, 153KB)
• 2018 DME Policy and Procedure Manual and DME Fee Schedule (3/16/18, 155KB)
• Important Enteral Prior Approval and Claim Requirement Change (3/9/18, 159KB)
• A New Provider Communication is Available (10/27/17, 155KB)
• ATTENTION: Topical Oxygen Wound Therapy (TOWT) Continues to be Covered Until Further Notice (6/26/17, 178KB)
• A New Provider Communication is Available (6/14/17, 177KB)
• Important Incontinence Supply Management Program Rate Change Update (5/16/17, 177KB)
• DME Procedure Codes and Fee Schedule Updated (4/25/17, 177KB)
• Incontinence Supply Rate Change Postponement (4/3/17, 181KB)
• A New Provider Communication is Available (3/24/17, 177KB)
• A New Provider Communication is Available (3/6/17, 155KB)
• A New DME Provider Communication is Available (2/15/17, 177KB)
• A New DME Provider Communication is Available (2/14/17, 177KB)
• A DME Provider Communication is Now Available (12/29/16, 176KB)
• A DME Provider Communication is Now Available (12/28/16, 177KB)
• A New DME Provider Communication is Available (11/11/16, 180KB)
• A DME Provider Communication is Now Available (10/26/16, 182KB)
• A DME Provider Communication is Now Available (8/18/16, 171KB)
• Updated DME Procedure Code Manual, Policy Guidelines, and Fee Schedule have been posted (7/1/16, 177KB)
• A New DME Provider Communication is Now Available (6/29/16, 197KB)
• Approval of Incontinence Supply Management Program (6/2/16, 15KB)
• A DME Provider Communication is Now Available (5/26/16, 177KB)
• A DME Provider Communication is Now Available (5/4/16, 177KB)
• A DME Provider Communication is Now Available (3/24/16, 175KB)
• Attention: Revised Reimbursement Methodology for Medicare/Medicaid Dually Eligible Clients (2/9/16, 178KB)
• Updated DME Fee Schedule and Provider Communication Are Now Available (12/31/15, 76KB)
• A DME Provider Communication is Now Available (9/30/15, 76KB)
• Notification to Ordering and Billing Providers of Enteral Formula Products (9/29/15, 77KB)
• Two Provider Communications Are Now Available (9/23/15, 76KB)
• A DME Provider Communication is Now Available (7/17/15, 76KB)
• Important Information Regarding ICD-10 Implementation on October 1, 2015 (7/10/15, 86KB)
• A New Provider Communication for DME Providers is Now Available (5/8/15, 159KB)
• 2015 DME Procedure Codes Section and Fee Schedule Has Been Updated (5/6/15, 76KB)
• DME Fee Schedule Updated (3/23/15, 158KB)
• DME Fee Schedule Updated (3/11/15, 76KB)
• A Provider Communication for DME Providers is Now Available (1/6/15, 75KB)
• NCCI Updated Edits Effective 10/1/2014 (10/7/14, 80KB)
• Your Medicaid Enrollment (9/18/14, 77KB)
• Durable Medical Equipment (DME) Edit Reason Codes (8/6/14, 64KB)
• Durable Medical Equipment Procedure Code and Fee Schedule Updates (7/21/14, 66KB)
• Wheeled Mobility Equipment Fee and Frequency Update (6/12/14, 67KB)
• Ankle Foot Orthotics (AFOs) Allowed Frequency Update (6/12/14, 66KB)
• Unlisted Wheeled Mobility Parts and Accessories (6/10/14, 66KB)
• Edit 02166 - Delay Reason 11 (Other Delay) Invalid will pend Professional and Dental Paper Claims (4/29/14, 110KB)
• 2014 DME procedure codes section and fee schedule (3/28/14, 66KB)
• Quarterly National Correct Coding Initiative (NCCI) Edits Updated (3/24/14, 71KB)
• Updated Quarterly National Correct Coding Initiative (NCCI) Edits (1/15/14, 70KB)
• Provider Training Schedule Available (1/8/14, 99KB)
• Medicaid Prescription Footwear and Stocking Benefit Update (12/12/13, 72KB)
• ATTENTION: Correction to the September 2013 Medicaid Update (10/17/13, 154KB)
• Provider Satisfaction Survey (10/16/13, 66KB)
• Provider Training Schedule Available (10/07/13, 65KB)
• Enteral Nutritional Formula Phone Line (09/27/13, 66KB)
• Attention All Providers: MRT 3 Initiatives to Begin (09/13/13, 54KB)
• Enteral Nutritional Formula Webinar Power Point Presentation (07/29/13, 52KB)
• Webinar: Enteral Nutritional Formula Regulation and Utilization Management Update (07/23/13, 52KB)
• Enteral Formula Prior Authorization Phone System Update (07/18/13, 54KB)
• Provider Training Schedule Available (07/16/13, 52KB)
• Enteral Formula Telephone Authorization System Update (07/11/13, 52KB)
• Fee for Service Enteral Formula Prior Authorization (07/01/13, 54KB)
• Incontinence Prescriber Communication ICD-9 Quantity Tool (06/28/13, 52KB)
• Enteral Nutritional Formula Benefit Update (06/14/13, 61KB)
• Edit 02166 'Delay Reason 11(Other Delay) Invalid' Will Deny Claims Beginning April 25, 2013 (04/25/13, 59KB)
• Updated DME Fee Schedule is Now Available (04/09/13, 52KB)
• Provider Training Schedule Available (04/05/13, 48KB)
• Upcoming Training for Obtaining DVS for Incontinence Supplies via ePACES (04/01/13, 53KB)
• DME Attention All Providers Dispensing Breast Pumps (03/25/13, 51KB)
• Expandable Controller and Harness Updates Effective April 1, 2013 (03/14/13, 51KB)
• DME Changes for April 1, 2013 (03/08/13, 56KB)
• Edit 02165 - Delay Reason 10 (Administration Delay in the Prior Approval Process) Invalid will deny claims beginning March 7, 2013 (03/05/13, 58KB)
• A Provider Communication for DME Providers is Now Available (11/21/12, 50KB)
• Attention DME Providers Affected by Hurricane Sandy (11/13/12, 52KB)
• Attention DME Providers of Speech Generating Devices (10/10/12, 58KB)
• A Provider Communication for DME Providers is Now Available (10/02/12, 51KB)
• A Provider Communication for DME Providers is Now Available (09/18/12, 52KB)
• Attention DME Providers of Speech Generating Devices (09/04/12, 52KB)
• Important Reminder for All Ordering and Billing Providers of Incontinence Supplies (08/30/12, 52KB)
• Edit 02042 "Referring MMIS Provider ID Can Not Be Derived" (07/05/12, 26KB)
• Provider Communication on HCPCS Code E2100 Update (05/16/12, 52KB)
• Improve Modifier Editing (04/17/12, 56KB)
• Reminder To All DME Providers: DVS Authorizations Required For Monthly Rentals (04/03/12, 62KB)
• Important DME Provider Communication Is Now Available (03/08/12, 52KB)
• Improve Modifier Editing (02/22/12, 57KB)
• A Provider Communication for DME Providers is Now Available (12/30/11, 38KB)
• Procedure Code Changes Effective January 1, 2012 (12/27/11, 38KB)
• Important Updates Regarding UR Editing and DVS Requirements (11/23/11, 38KB)
• Enteral and Parenteral Pump Prior Authorization Update (11/03/11, 38KB)
• Pricing Methodology Change for Orthopedic Footwear (05/12/11, 39KB)
• DME Fee Schedule Updated (05/05/11, 38KB)
• DME Procedure Codes and Coverage Guidelines Updated (04/28/11, 37KB)
• Enteral Nutritional Formula Benefit Update (04/19/11, 40KB)
• DME Fee Schedule Modified (04/12/11, 37.15KB)
• Prescription Footwear & Compression Stocking Benefit Update (04/11/11, 31.88KB)