States’ Medicaid Fee-for-Service Durable Medical Equipment Payment Policies

Medicaid and CHIP Payment and Access Commission
July 2019

To better inform analysis of existing policies and development of future policies that affect Medicaid payments, the Medicaid and CHIP Payment and Access Commission (MACPAC) released a compendium of each state’s fee-forservice DME policies along with a companion issue brief summarizing payment and coverage policies and issues. The documents provide a comprehensive overview of how some states have enacted policies to address the level and rate of growth in state and federal Medicaid expenditures, including how individual states set their payment rates and the payment and coverage policies for common categories of covered equipment and supplies. These documents provide an overview of the range of approaches states take to determine payments for DME.