Information for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Providers

Medicaid Pharmacy Program Carve-Out Information for DMEPOS Providers

DMEPOS providers that are not enrolled in the FFS program must enroll as billing providers in order to continue serving Medicaid Managed Care members. Instructions for checking enrollment status, and enrollment tips can be found at the eMedNY Provider Enrollment website.
  • Pharmacy Procedures and Supply Codes lists supplies subject to the transition from Managed Care to FFS, such as enteral and parenteral nutrition, family planning and medical/surgical supplies.
  • Durable Medical Equipment, Prosthetics and Supplies Manual lists items that are not subject to the transition in Sections 4.4, 4.5, 4.6, and 4.7. These items, which include durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS), will remain the responsibility of the MC plans.