Durable Medical Equipment (DME) Fee Schedule

​​​​​​​​​​Disclaimer: Note that the absence or presence of a reimbursement code and its associated allowance on these pages does not guarantee Medicaid coverage of the item or procedure. Please refer to the appropriate West Virginia Medicaid provider manual for coverage determination.

Important Notice! 

Due the end of the COVID-19 public health emergency, HCPCS Code A4928 - Surgical Mask - per 20, will no longer be covered, effective​ May 31, 2025.
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DME 2025 Competitive Bidding Fee Schedule                              DME 2025 Competitive Bidding Schedule Effecitve 4/1​/25 - 3/31/26
DME CY 2025 Fee Schedule                                                         DME CY 2025 F​ee Schedule Effective 4/1/25 - 3/31/26​​
DME Competitive Bidding Fee Schedule                                       DME Competitive Bidding Fee Schedule 
DME CY 2024 Fee Schedule                                                         DME CY 2​024 Fee Schedule
DME Competitive Bidding Fee Schedule                                       DME Competitive Bidding Fee Schedule 
DME CY 2023 Fee​ Schedule                                                         DME CY 2023 F​ee Schedule  
DME Competitive Bidding Fee Schedule                                       DME ​Co​mpetitive Bi​dding Fee Schedule Effective 4/1/23 - 3/31/24
DME New Procedure Codes                                                          DME New Procedure Codes  Effective 4/1/22 - 3/31/23

Archived Durable Medical E​quipment Fee Schedules 

 

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