Some items are not covered by Medicaid. These include, but are not limited to, deluxe models or items, replacement of usable equipment, items for the patient's or patient's caregiver's comfort or convenience,
and items for use in hospitals, nursing facilities or other institutions, among others. However, DME items may be provided in nursing homes or other institutions for children through the EPSDT program.
Medicaid recipients may be billed for non-covered items and items covered by non-contract providers.