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Serving Wyoming EqualityCare Providers

 

 

DME Manual and Bulletins

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DME

DME General Manual
DME Covered Services Revised 10/21/2009

 

Important Policy Changes/Additions

Summary of changes to DME Covered Services Manual effective 10/21/09:
  • Cranial helmets are now allowed in certain circumstances
  • Except when there is evidence of excessive wear only one pair of orthotic shoes will be allowed annually
  • The requirement for indirect bilirubin lab results has been removed from phototherapy services

DME Bulletins

2010 Budget Letter
IVR/Email Communication Bulletin (288KB)
New DME Manual 05/04/2009 (282K)
Dr. Sherard OIG Exclusions Letter (110K)

PERM Letter 01/29/2009 (101K)
PERM Brochure 01/29/2009 (163K)
Certification of Ownership 12/06/2005 (30K)

 

Additional Links

ACS Bowers DME Information: ACS Bowers contact information for provider’s requesting prior authorization (PA) for DME supplies.
EqualityCare & State Healthcare Benefit Plans: Provides client benefit plan names, descriptions, eligibility limitations, coverage types and coverage limitations. This information is useful when determining if a client is eligible for services.
Explanation of Benefit Codes (EOB) Code Listing: Lists the EOB code and description. This is helpful when working the remittance advice.

NDC Crosswalk PDF: Provides a listing of the drug related procedure codes requiring an NDC. The listing provides the NDC, HCPCS (J codes), HCPCS and NDC descriptions, effective dates, end dates, and if applicable for Medicare crossovers only.
NDC Crosswalk Excel: Provides a listing of the drug related procedure codes requiring an NDC. The listing provides the NDC, HCPCS (J codes), HCPCS and NDC descriptions, effective dates, end dates, and if applicable for Medicare crossovers only
NPI News and Information: Provides historical transition information, billing instructions and examples, etc.


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