Durable Medical Equipment (DME) Benefit and Covered Service

The durable medical equipment (DME) covered services provided under the DME benefit, along with their specific procedure code(s) accepted for claim and payment, are noted within the attached AHCA Medicaid DME Provider Fee Schedule links.

In addition, to covered DME services noted with the Florida Medicaid fee schedule, AmeriHealth Caritas Florida covers DME services when authorized and billed under the miscellaneous procedure codes (E1399 and A9900). These services categories include, but are not limited to the following:

DME description
PleurX drainage kits
Cotton-tipped applicators
Customized tracheostomy supplies
Farrell bags and valves
NeoSuckers
Omnipod insulin delivery systems
Personal wipes
Supplies (tracheostomy cuff)
Customized equipment
Customized repair supplies

Coastal Care Services Provider Billing Manual (PDF)

AHCA DME Provider Fee Schedule (PDF)