DME provider definition

DME provider means those entities enrolled with DMAS to render DME services.
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DME provider means any provider enrolled with the Department as a Durable Medical Equipment provider.
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Examples of DME provider in a sentence

  • Coverage for some diabetic equipment and supplies may only be available from either a DME provider or from a pharmacy.

  • HNE covers items such as:• Automatic blood pressure monitors (Effective January 8, 2021, Prior Approval is not required when prescribed by a doctor and supplied by an In-Plan DME provider.

  • Such bundled agreements shall be reimbursed either monthly or in units per year based on the individual agreement between the DME provider and DMAS.

  • To enroll in the CSHCN Services Program, an orthotics and prosthetics provider must be actively enrolled in Texas Medicaid as a durable medical equipment (DME) provider or as a licensed prosthetist and/or orthotist, have a valid Provider Agreement with the CSHCN Services Program, have completed the CSHCN Services Program enrollment process by enrolling as an individual or as a group of performing providers, and comply with all applicable state laws and requirements.

  • A subsequent evaluation after the delivery of the custom manual and/or custom motorized/power wheelchair by a PT or OT, not employed by the DME provider or the manufacturer, to determine if the custom manual and/or custom motorized/power wheelchair is appropriate for the resident’s needs.

  • When requesting manually priced items, the DME provider must indicate the name of the product, the product number, and the name of the manufacturer or distributor and must provide the required documentation for pricing.

  • The broker shall not arrange NEMT services to a Durable Medical Equipment (DME) provider that provides free delivery or mail order services.

  • The Division of Medicaid does not allow the beneficiary to be billed if the DME provider chooses to deliver the item/service prior to submitting a prior authorization request and approval is not given.

  • If the DME provider supplies a custom motorized/power wheelchair that is not covered under a warranty, the provider is responsible for any repairs, replacement or maintenance that may be required within two (2) years.

  • The DME provider must fully assess the beneficiary’s needs and ensure that the motorized/power wheelchair is adequate to meet those needs.

Related to DME provider

  • Provider is any individual or company that provides professional or technical services.

  • Insurance Provider s Tender” means the completed Tendering Document submitted by the Insurance Provider to the Procuring Entity

  • Primary care provider (PCP) means, for the purpose of this plan, professional providers that are family practitioners, internists, and pediatricians. For the purpose of this plan, gynecologists, obstetricians, nurse practitioners, and physician assistants may be credentialed as PCPs. To find a PCP or check that your provider is a PCP, please use the “Find a Doctor” tool on our website or call Customer Service.

  • Video service provider or "provider" means a person authorized under this act to provide video service.