Durable Medical Equipment (DME)

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
  • 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      • Prescription orders is not considered outdated if 90 days past date written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 Comagine Health 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 888-213-8548 (the fax number is located on the Form 471, bottom of page). 

  • You may call a Comagine Health reviewer directly regarding your PA request(s) at 888-213-7576. 

  • Please reference the provider Portal for PA extension updates.

  • Please feel free to contact Comagine Health as needed for any questions at 888-213-7576.

 

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 DXC Electronic Media Claims (EMC) Helpdesk for assistance at (800) 456-1242 or (334) 215-0111.

DME Fee Schedules
DME Manuals
DME Policy & Procedures
DME Forms
DME Provider Lists
DME Prior Authorization Public Checklists

 

DME Alerts and Updates