So long as the MCOs are not paid on a fee-for-service (FFS) basis, MCOs are not covered under this statute or subject to the limit on FFP. Only the relevant DME items provided in FFS are included in this limit.
Date
Topic
Durable Medical Equipment
Sub Topic
Managed Care DME
FAQ ID
93536
FAQ Page
Frequently Asked Questions
FAQ Question
Do the managed care organizations (MCOs), who are contracted to provide services to our Medicaid clients, have to comply with the durable medical equipment (DME) limit on federal financial participation (FFP)?