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08/27/2024

NY Medicaid DME

I am interested in getting re-enrolled as a Medicaid DME supplier . Does New York State still permit podiatrists to be a DME supplier?

Yes, podiatrists may apply for NY Medicaid DME supplier enrollment.  New York State Medicaid has an excellent DME Policy here:  https://www.emedny.org/ProviderManuals/DME/PDFS/DME_Policy_Section.pdf

 

It states suppliers may submit application for enrollment in their DMEPOS program if they are a DMEPOS provider with site-specific Medicare approval. In addition, the provider must be licensed/registered in the state in which the provider is located.

 

It also says:

New York State Medicaid policy requires that DMEPOS providers located within New York State (or the common medical marketing area of the contiguous states):

 

       - Be a fully operational and independent, walk-in business that is open to the general public and is      staffed with trained personnel capable of providing the proper fitting, demonstration, and service of the supplies available to Medicaid members;

 

     - Have the means to provide services such as returns and adjustments for all supplies or equipment      that is distributed;

 

     - Be responsible for any needed replacements or repairs that are due to defect in quality or workmanship;

 

     - Be open and conduct business prior to being enrolled in Medicaid;

 

     - Have a storefront with a sign indicating the business is open to the public and the hours of operation; 

 

     - Operate during normal business hours;

 

      - Clearly display items provided; and

 

      - Have appropriate door width, ramped entrance, handicapped parking and/or other features allowing  access for people with physical disabilities.

 

 

Jeffrey D. Lehrman, DPM, FASPS, MAPWCA, CPC, CPMA  

Certified Professional Coder

Certified Professional Medical Auditor                                           

Lehrman Consulting, LLC

 

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