90 Day Supply Crossover Claims Reimbursement for Certain Supplies
June 17, 2024
MassHealth has implemented MMIS system updates to allow reimbursement of 90-day supplies for certain oxygen and respiratory therapy equipment (OXY) and durable medical equipment (DME). This change only applies to crossover claims with dates of service on or after 6/1/2024.
This update applies to the following procedure codes:
A4217, A4224, A4225, A4332, A4333, A4334, A4349, A4353, A4373, A4385, A4388, A4389, A4390, A4392, A4393, A4394, A4395, A4396, A4405, A4406, A4407, A4408, A4409, A4410, A4411, A4412, A4413, A4414, A4415, A4416, A4417, A4419, A4422, A4423, A4424, A4425, A4426, A4427, A4428, A4432, A4433, A4452, A4456, A4605, A4624, A4629, A5056, A5057, A5120, A7000, A7001, A7002, A7003, A7012, A7013, A7015, A7505, A7525, A7526, A9276
Please refer to our online MassHealth DME and OXY Payment and Coverage Guideline Tool at www.mass.gov/service-details/masshealth-payment-and-coverage-guideline-tools for a full description of procedure codes.
If you have questions regarding this message, please contact the LTSS Provider Service Center at support@masshealthltss.com or (844)-368-5184.