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Durable Medical Equipment

DMA Clinical Policy and Programs
Phone Number 919-855-4310
Fax 919-715-9451

Durable medical equipment (DME) refers to the following categories of equipment and related supplies for use in a recipient’s home:

• Inexpensive or Routinely Purchased Items
• Capped Rental/Purchased Equipment
• Equipment Requiring Frequent and Substantial Servicing
• Oxygen and Oxygen Equipment
• Related Medical Supplies
• Service and Repair
• Other Individually Priced Items
• Enteral Nutrition Equipment

DMA has designated Roche Diagnostics Corporation Diabetes Care, as the preferred manufacturer for glucose meters, test strips, control solutions, lancets and lancing devices. Additional information on ACCU-CHEK diabetic supplies is available under the “What’s New” provider section on the DMA website. Questions should be directed to the ACCU-CHEK Customer Care at 1-877-906-8969.

For service requirements, coverage criteria and limitations, refer to Clinical Coverage Policy #5A, Durable Medical Equipment.

Medicaid Bulletins

For changes and updates to coverage criteria, billing information, and other program requirements refer to the N.C. Medicaid general and special bulletins.

• Index of Articles for DME Providers
• Index of All Bulletins
• All Bulletins by Date

DME Forms

To see forms that apply to all providers, please visit our Provider Forms page.

• Oral Nutrition Product Request Form

DME Fee Schedules

DME

• Adobe Acrobat Format - effective date 01/01/13
• Microsoft Excel Format - effective date 01/01/13
• Adobe Acrobat Format - effective date 07/01/12
• Microsoft Excel Format - effective date 07/01/12
• Adobe Acrobat Format - effective date 01/01/12
• Microsoft Excel Format - effective date 01/01/12
• Adobe Acrobat Format - effective date 12/01/11
• Microsoft Excel Format - effective date 12/01/11
• Adobe Acrobat Format - effective date 11/01/11
• Microsoft Excel Format - effective date 11/01/11
• Adobe Acrobat Format - updated 03/01/11
• Microsoft Excel Format - updated 03/01/11
• Adobe Acrobat Format - updated 01/01/11
• Microsoft Excel Format - updated 01/01/11
• Adobe Acrobat Format - updated 05/01/10
• Microsoft Excel Format - updated 05/01/10
• Adobe Acrobat Format - updated 04/01/10
• Microsoft Excel Format - updated 04/01/10
• Adobe Acrobat Format - updated 01/07/10
• Microsoft Excel Format - updated 01/07/10
• Adobe Acrobat Format - updated 11/01/09
• Microsoft Excel Format - updated 11/01/09
• Adobe Acrobat Format - updated 10/01/09
• Microsoft Excel Format - updated 10/01/09
• Adobe Acrobat Format - updated 05/01/09
• Microsoft Excel Format - updated 05/01/09
• Adobe Acrobat Format - updated 02/05/09
• Microsoft Excel Format - updated 02/05/09
• Adobe Acrobat Format - updated 08/01/08
• Microsoft Excel Format - updated 08/01/08

Incontinence Supplies Revision

• Adobe Acrobat Format - effective 11/01/2011
• Microsoft Excel Format - effective 11/01/2011