CMS Durable Medical Equipment Enrollment Moratorium Expires
CMS's moratorium on new durable medical equipment supplier enrollment has expired. The moratorium had temporarily halted new DME supplier applications in certain geographic areas as a program integrity measure. With the expiration, CMS will resume processing new DME supplier enrollment applications. The change affects Medicaid programs in states where DME suppliers seek to enroll and bill Medicaid for equipment and supplies, potentially expanding the DME provider network.
State Medicaid agencies must prepare for an influx of new DME supplier enrollment applications and ensure program integrity screening processes are adequate to prevent fraud while maintaining network adequacy for beneficiaries requiring medical equipment.
Managed Care
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