Should states set both a purchase and rental rate for capped rental items on the report since Medicaid pays purchase only for some of the Medicare capped rental items due to market demands?

States are not required to change how they pay for items because of the statute. If a Medicaid program only purchases Medicare capped rental items, then that is the payment and utilization we will compare to Medicare’s rates in determining the aggregate expenditures. States are not obligated to alter their coverage of durable medical equipment due to the statute.