Table of Contents
What are three examples of durable medical equipment?
Examples of DME include:
- Wheelchairs.
- Walkers.
- Hospital beds.
- Power scooters.
- Portable oxygen equipment.
What is a DME item?
Description. Durable Medical Equipment (DME) is defined as follows: Equipment must be able to withstand repeated use. It must be primarily and customarily used to serve a medical purpose. It must not be useful to a person in the absence of illness or injury.
Does Maryland Medicaid require prior authorization?
​Preauthorization Information Maryland Medicaid Fee-for-Service will preauthorize services when the provider submits adequate documentation demonstrating that the service is medically necessary.
What is DME insurance?
Durable medical equipment (DME) coverage.
Is a heart monitor considered durable medical equipment?
Note: Pulse tachometers (pulse rate monitors, heart rate monitors) do not meet Aetna’s definition of covered durable medical equipment (DME) in that they are not primarily medical in nature and are normally of use in the absence of illness or injury.
Are disposable needles considered DME?
Durable medical supplies can also include disposable gloves that a patient or caregiver may wear during a daily treatment. Supplies can also include bandages, catheter equipment, needles for injection kits and diapers. If it is used once and then thrown away, it is considered a durable medical supply.
Does Maryland Physicians Care cover MRI?
These services include CT/CTA, MRI/MRA, PET Scan, CCTA, Myocardial Perfusion Imaging, MUGA Scan, Stress Echocardiography, and Echocardiography (TTE/TEE). Cardiologists may receive authorizations by contacting NIA at www.RadMD.com or via NIA’s call center at (800) 424- 4836.
Is a foot boot considered durable medical equipment?
We offer a wide selection of durable medical equipment for orthopedic conditions, including: Crutches and walkers. Custom-fitted and prefabricated splints and walking boots. Air-pump walking boots.
Is a wheelchair scale considered DME?
Durable medical equipment (DME) —Certain medical equipment, like a walker, wheelchair, or hospital bed, that’s ordered by your doctor for use in the home.
Does Medicare cover masks and gloves?
They are not. Medicare does not cover disposable vinyl, nitrile, latex, TPE, or CPE gloves under Parts A or B. But rubber gloves are covered under Part B when they’re classified as self-dialysis equipment and supplies for ESRD patients under Medicare Part B.
Is Medicaid the same as Maryland Physicians Care?
Maryland Physicians Care (MPC) provides free, quality health care services to Maryland’s HealthChoice enrollees by extending the full benefits of Medicaid.
Does Maryland Physicians Care require a referral?
We also cover several over-the-counter drugs. To find out which medications are covered, or for questions regarding your MPC Pharmacy benefits, please call the Member Services department at 1-800-953-8854. Do Members Need Referrals From Their Primary Care Providers (PCPS) For Well-Woman Checkups? No.
What are the documentation guidelines for DME?
Documentation, including pertinent portions of the beneficiary’s medical records (e.g., history, physical examination, diagnostic tests, summary of findings, diagnoses, treatment plans), supporting the medical necessity of the prescribed PMD must be furnished to the supplier within 45 days of the examination.