Section 60, Durable Medical Equipment (DME) and Supplies: Annual Rate Adjustment

Jan 19, 2024

Effective January 1, 2024, the Department has updated DME rates benchmarked to Medicare, to reflect 100% of current year Medicare rates. New rates have been posted to the MIHMS portal and rates will be implemented for billing on January 24, 2024.

Adjustment of Claims

The Department will adjust claims that were submitted at or above the new rates, for dates of service: January 1, 2024, through January 23, 2024.

Providers will be responsible for adjusting claims with charges that were submitted below the new rates, for the same date span noted above. Per policy, and to avoid timely filing denials, adjustments must be submitted within 120 days of the original claim payment date.

For questions, please contact your Provider Relations Specialist.