Durable Medical Equipment (DME) Rental to Purchase
Policy Update #: POLDME080124
Effective Date: August 1, 2024
Current State: N/A
Future State: Effective August 1, 2024, Sentara Health Plans will deploy an edit to review DME rental costs. Sentara Health Plans adheres to the Department of Medical Assistance Services Appendix B to determine the allowable cost for rental and purchase allowances for DME items. Sentara Health Plans will provide reimbursement for rentals only up to the established purchase price. A description of the equipment and limitations for rental are found in the
Appendix B at the following link: www.dmas.virginia.gov/for-providers/benefits-services-for-providers/long-term-care/services/durable-medical-equipment/
Applicable Plan(s): Medicaid
Applicable Policy: Policy Number: 4006
Business Owner: Cost of Care