Medical Supplies and Equipment

This Manual is an official publication of the Virginia Department of Medical Assistance Services (DMAS) and its contents are - to the extent appropriate - incorporated by reference into participation agreements signed by providers enrolled in the Virginia Medicaid Program. DMAS is not responsible for the content or accuracy of reproductions, in whole or in part, of this Manual from any other source.

Manuals issued by DMAS are periodically revised and updated. Providers with access to the Internet may obtain current copies of manuals at DMAS’ Website: www.dmas.virginia.gov . 

This Manual is not exhaustive of Medicaid law and should not be relied upon as a legal authority. The provider should always rely on its own counsel to ensure compliance with the Medicaid laws.

 

Cover                     Disclaimer                   Table of Contents

Chapter I

General Information

Chapter II

Provider Participation Requirements

Chapter III

Recipient Eligibility

Chapter IV

Covered Services 

Chapter V

Billing Instructions

Chapter VI

Utilization Review and Control

Supplement A

MEDALLION Supplement

Appendix A

Definition of Terms
Appendix B Apnea Monitors, Respiratory, Oxygen and Ventilators
Appendix B Bandages Dressings Gauze and Tape
Appendix B Beds Mattresses and Accessories
Appendix B Bed Pans, Urinals, Incontinence/Catheter Supplies, Incontinence Undergarments and Irrigation Equipment and Supplies
Appendix B Burn Garments
Appendix B Canes, Crutches and Walkers
Appendix B Communication Devices
Appendix B Decubitus and Ulcer Products
Appendix B Diabetic Products
Appendix B Dialysis
Appendix B Dry Heat Application TENS NMES
Appendix B Elastic Support Items
Appendix B Enteral/Parenteral Pumps and Nutritional Supplements, Nutrition Kits/ Feeding Tubes
Appendix B EPSDT Only
Appendix B I.V. Service Day Rate, I.V. stands, I.V. Supplies/Needles
Appendix B Miscellaneous Durable and Expendable Supplies
Appendix B Ostomy/Colostomy Products/Ostomy Accessories, Ostomy Pouches, Skin Barrier Liquids, Pastes, Powder and Rings
Appendix B Orthotics
Appendix B Traction Equipment
Appendix B Wheelchairs and Accessories  

Appendix C

Update Control Log
Appendix D Prior Authorization Information

Manual Table of Contents | DMAS Home Page

To display and print PDFs, you will need to ensure the free Adobe Acrobat Reader is installed on your computer.  Click here to download the free reader from Adobe then follow the installation instructions.