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The Department of Social Services' request for a sixty day extension to develop a state of the art system to facilitate access for Durable Medical Equipment (DME) has been granted by the United States District Court for the Western District of Missouri. If you are an enrolled Missouri Medicaid provider with a DME claim for services rendered to an eligible Missouri Medicaid recipient from March 2, 2007, through June 1, 2007, you may submit these claims for payment using the information you will find in the DME provider manual. Claims will be processed consistent with the policy that was in place prior to September 1, 2005. All items of medical equipment that were previously covered only for adults who were blind or pregnant are now available to all adult Missouri Medicaid beneficiaries as long as the items are medically necessary.
Governor Matt Blunt has directed the Department of Social Services to utilize state of the art health care technology to develop a new DME program consistent with the MO HealthNet approach. The Governor has directed the department to make the full range of equipment available on the basis of medical necessity using electronic, real time prior authorization. This process is underway, and information regarding DME claims after June 1, 2007 will be forthcoming in a Missouri Medicaid Provider Bulletin.
04/03/07
