Topics Related to Durable Medical Equipment Providers

An amended version of Clinical Coverage Policy 5A-3, Nursing Equipment and Supplies promulgated on March 1, 2024, with an effective date of Jan. 1, 2024.

An amended version of Clinical Coverage Policy 5A-3, Nursing Equipment and Supplies with an effective date of Dec. 1, 2023, is posted.

Updates on NC Medicaid programs that received legislative increases to service rates in the Current Operations Appropriations Act of 2023

DME Fee schedule updated effective Feb. 28, 2023

The waiver has received approval for another five years through Feb. 29, 2028.

A new prior authorization is required for beneficiaries returning to NC Medicaid Direct

Flexibilities ending at or after the end of the Federal Public Health Emergency

Summary of updates to Clinical Coverage Policy 5A-3 with an effective date of Feb. 1, 2023.

This bulletin replaces the previous bulletin published Nov. 21, 2022.

Taxonomy numbers are not included in Clinical Policy but are included in the associated Fee Schedules.