This SPA amends reimbursement for items of durable medical equipment ( DME), including increasing fees for certain items; restructuring soft limits for items which require prior authorization (PA); discontinuing certain codes for lac k of utilization; setting a cap on repairs for certain orthotics and prosthetics which can be waived with prior authorization; and reduction in payment for certain items to reflect level of reimbursement of neighboring states.
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Effective Date
File 1 - Approval Document Media