FROM: PAUL SWATSENBARG, Deputy Administrator, Division of Medicaid
▪ At this time, Idaho Medicaid follows the 2001 DMERC guidelines and not the current 2002 DMERC guidelines. We incorrectly stated that we followed the 2002 guidelines for CPAP supplies.
▪ The codes for supply kits were listed incorrectly in the July newsletter. The correct codes for feeding supply kits are: B4034 (syringe fed), B4035 (pump fed), and B4036 (gravity fed).
▪ For continuous rental (oxygen) claims, please bill with the RR modifier. All claims submitted after September 6, 2002, without the RR modifier will be denied. We have corrected our system to allow correct payment with the RR modifier.
Procedure codes that require the RR modifier:
Oxygen Supplies/Equipment Equipment
E0424, E0431, E0434 E0450 volume ventilator
E0439, E0441, E0442 E0460 negative pressure ventilator
E0443, D0444, E1390 E0500 IPPB machine
Additional Information: When submitting a request for a renewal or continuation of a previous authorization, please submit a new request form with the current information. The fax number for the DME unit is: (800) 352-6044.
We apologize for any inconvenience this may have caused.
Questions regarding this information may be directed to Colleen Osborn at (208) 334-5795, ext. 16. Thank you for your continued participation in the Idaho Medicaid program.