New Durable Medical Equipment (DME) Fee Schedule


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Effective May 1, 2018, the Alabama Medicaid Agency will implement a new Durable Medical Equipment (DME) fee schedule that meets the requirements of 21st Century Cures Act. 
The new law requires the Alabama Medicaid Agency to be responsible for expenditures that exceed the aggregate limit for any DME items detailed in section 1861(n) of the Social Security Act on or after Jan 1, 2018.  Alabama is liable for any federal portion that exceeds these aggregate limits.  Due to this change, it is necessary for the Alabama Medicaid Agency to implement the CMS Medicare rates for the affected DME codes.
The change will affect the 244 codes identified by CMS, and the Agency will update the DME fee schedule on its website accordingly.  The list of codes and rates will be updated annually in accordance with CMS annual updates. 
Should you have questions on this change, please contact the Agency at 334-353-4525.