DMAP administrative rules and supplemental information for:
Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) program
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DMEPOS program updates by e-mail
Rulebook
January 1 , 2012 (pdf) (administrative rules; see below for archived rules)
Attention: Rules filed after January 1, 2012 have not been included in the Rulebook. Rules filed after January 1, 2012 are listed below:
- April 1, 2012 – 410-122-0340 Wheelchair Options/Accessories, 410-122-0540 Ostomy Supplies, 410-122-0630 Incontinent Supplies and 410-122-0660 Orthotics and Prosthetics
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Supplemental information
DMEPOS Supplemental Information (pdf) - Updated 11/1/11 - Includes information about prior authorization (PA), billing instructions and billing/PA forms.
Allowable National Drug Codes (NDCs) for billing diabetic supplies - Effective 8/1/11. Please make sure to report the NDCs for diabetic supplies when billing DMAP. For more information about NDC reporting, read these Frequently Asked Questions (link).
Diabetic supply codes and fees - Updated 7/29/11. Rates subject to change.
The OHP Fee-for-Service fee schedule lists pricing for DMEPOS items (subject to change). For more information, see DMAP's instructions for DMEPOS providers - updated 10/27/09.
Forms
EDMS Coversheet (pdf) - Use this form whenever you fax documentation for prior authorization requests, provider enrollment requests, or claims to DMAP.
DHS Prior Authorization Request Form (pdf) - Use this form to submit faxed PA requests to DMAP. Click here for instructions. You can also submit the same information using the Provider Web Portal. Read the handbook or view the tutorial for more information about submitting PA requests on the Web.
DMAP 2461 - Evaluation of Respiratory Assistive Device (pdf)
DMAP 3155 - Positioner Justification (pdf)
Who to call for help
Provider Services 800-336-6016 or e-mail us
Address
and telephone contacts