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!
Per the Centers for Medicare and Medicaid Services (CMS), Medicaid programs must follow the competitive bidding fee schedules for durable medical equipment (DME) published by Medicare. Currently, the only area in West Virginia that participates in the competitive bidding program for DME is the Huntington, West Virginia area, which includes Cabell, Putnam and Wayne counties. As of March 14, 2020, Code A4928 is now being covered due to COVID-19.
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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 Fee 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 2024 Fee Schedule
DME Competitive Bidding Fee Schedule DME Competitive Bidding Fee Schedule
DME CY 2023 Fee Schedule DME CY 2023 Fee Schedule
DME Competitive Bidding Fee Schedule DME Competitive Bidding 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 Equipment Fee Schedules
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