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Durable Medicaid Equipment, Prosthetics, Orthotics, and Supplies


Durable Medical Equipment, Prosthetics, Orthotics, and Supplies

Provider Manuals

General Information for Providers  05/2019

Medicaid manual with general information for all provider types.

Durable Medical Equipment, Prosthetics, Orthotics, and Medical Supplies (DMEPOS) 10/2017

This manual has information specific to your provider type.

Medicaid Rules and Regulations

Fee Schedules – Durable Medical Equipment (DME)

Provider Notices



11/29/2018 Durable Medical Equipment Mass Adjustment for Rate Restoration
11/20/2018 Appropriate Billing Reminder
11/08/2018 Rate Updates Mass Adjustment
10/19/2018 Medicaid Fee Schedules
07/03/2018 Durable Medical Equipment Cures Act Claim Adjustment
07/02/2018 Updated CLIA Claims Editing
06/04/2018 Coding Resources Change
04/04/2018  Updated Passport Eligible Populations & Reimbursement
02/27/2018 DME Incontinence Supply Rates
02/26/2018 New Rendering Only Provider Enrollment Application
01/31/2018 Montana Healthcare Programs Covered Double Electric Breast Pumps - E0603


12/26/2017 MATH Web Portal Eligibility Inquiry Verification Update
12/15/2017 Continuous Glucose Monitors-A9278, A9277, & A9276
12/11/2017  Montana Plan First Procedure and Service Codes - Contraceptive (IUD) Update
12/01/2017 Montana Medicaid Expansion Prior Authorization Changes
11/29/2017 Prosthetic Devices
11/21/2017 Bi-Level Positive Airway Pressure Devices (Bi-Pap)
11/20/2017 Qualified Medicare Beneficiary (QMB) Claim Adjustments
11/02/2017 New Medicare Card
10/22/2017 S1040 - Cranial Remolding Orthotic
10/02/2017 Montana Medicaid Expansion Changes
09/14/2017 Montana Plan First Anesthesia Update
08/31/2017 S1040 Cranial Remolding Orthotic
08/21/2017 Clinical Pharmacist Practitioner
08/01/2017 Telemedicine - Correction
06/05/2017 Pulse Oximetry for Children Age 0-20
05/26/2017 Federal Final Rule, "Nondiscrimination in Health Program and Activities” and Implication for Coverage of Services Related to Gender Transition
04/21/2017 Bowel Management Program Supplies
04/17/2017 Prior Authorization for Insulin Pumps - E0784
04/06/2017 New EPSDT Request Form
03/31/2017  Ketone Test Strips - A4250 & A252
01/11/2017  New HCPCS Codes for Insulin Pump Supplies – A4224 & A4225

Other Resources

Noridian Administrative Services
Medicare's DME Administrative Services provider.
Prior Authorization Criteria for Specific Services
Region D DMERC/CIGNA Medicare
The Durable Medical Equipment Regional Carriers (DMERC) website. DMERC processes Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) for Medicare.
Medicare Pricing, Data Analysis, and Coding (PDAC)
This website assists manufacturers and suppliers with DMEPOS billing and coding information. Can call toll-free 1-877-735-1326 or e-mail DME PDAC using their contact form.
SURS Provider Self-Audit Protocol 10/2015

To locate older documents, access the Archive Page.