DME FFP Limit Appendices
Guidance for: This document provides a series of appendix pages as follows: Appendix A
Medicare Definition of DME, Appendix B Compliance through State Plan Reimbursement Methodologies, Appendix C
Methods to Identify Medicare Covered DME, Appendix D
Calculation of the FFP Limit using the Lowest of the Medicare DMEPOS or Competitive Bidding Rate, Appendix E Calculation of the FFP Limit – Using Claims provided in Competitive Bidding Areas and Non-Com, Appendix F CMS Medicaid DME Limit Calculation Tool
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: January 01, 2020
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.