Durable Medical Equipment (DME) Archive

DME providers must be licensed annually by the Alabama Board of Home Medical Equipment Services (HME). For more information regarding how to become a licensed HME provider, visit  www.homemed.alabama.gov and click on the forms link. For questions about Durable Medical Equipment (DME):  Email DME Program Phone: 334-242-5050.

ATTENTION: All DME Providers: A new feature has been added to the provider web portal. DME providers will have the option to view all DME PAs for a recipient, even those requested by another provider. Please review the provider web portal User Manual for instructions. Contact the Gainwell Technologies assistance center at (800) 456-1242 or (334) 215-0111.

• ALERT regarding DME CURES Act Fee Schedule - 4/20/18
• ALERT on DME Program Changes - 4/29/14
• Clarification to ALERT on Reversal of Payment Reductions - 9/18/19
  • Clarifies processing of manually-priced items  Click for ALERT
• Follow-Up Q&As: CMS Face-to-Face Requirement for Certain DME Equipment - 10/19/18

• Checklist for Durable Medical Equipment - Information on denials, reasons for recoupments, where to find information in the Medicaid Provider Billing Manual, free tools and contacts  for providers to use in preventing fraud and abuse.

Important COVID-19 Updates for DME Providers
In response to the Coronavirus Disease 2019 (COVID-19), the Alabama Medicaid Agency has compiled a summary of changes and allowances made by the Agency as they apply to DME providers. Medicaid has extended all expiration dates below related to the Coronavirus (COVID-19) emergency.
• See all ALERTS here:https://medicaid.alabama.gov/alerts.aspx
• Medicaid COVID-19 updates here:          https://medicaid.alabama.gov/news_detail.aspx?ID=13729
• Updated signature requirements during the state of emergency, effective 3/16/20
  • See ALERT here:         https://medicaid.alabama.gov/alert_detail.aspx?ID=13755
• Existing Prior Authorizations can temporarily be extended for 30 days, effective 3/16/20
• New Prior Authorizations will still be processed through normal means, but with the following temporary modifications during the state of emergency, effective 3/16/20:
  • Face to Face evaluation is not required; telemedicine is allowed
  • Prescription orders is not considered outdated if 90 days past date written
  • EPSDT screening/referrals not needed for prior authorization
DME providers, During the state of emergency, the Alabama Medicaid Agency hopes to provide additional options to submit a prior authorization request (or renewal request).  Please see below.   Options for Submitting Prior Authorization (PA) requests to Kepro due to COVID 19 State of Emergency
• If faxing via Form 471:
• Single Request - Only complete the Supplier Information section and then add the PA number and a brief comment (i.e. PA extension).
• Multiple Requests-Only complete the Supplier Information section and then attach a list of the PAs and a brief comment (i.e. PA extension).
• Requests may be faxed to 833-536-2134 or 833-536-2136 (the fax number is located on the Form 471, bottom of page). 
• You may call a Kepro reviewer directly regarding your PA request(s) at 800-426-7259 or 800-472-2902. 
• Please reference the provider Portal for PA extension updates.
• Please feel free to contact Kepro as needed for any questions at 800-426-7259 or 800-472-2902.