Mont. Admin. r. 24.29.1523

Current through Register Vol. 23, December 6, 2024

Rule 24.29.1523 - MEDICAL EQUIPMENT AND SUPPLIES

(1) If the relative value unit is null or not listed on the fee schedule for durable medical equipment, reimbursement is the total of:

(a) item cost;

(b) shipping cost; and

(c) the lesser of $30 or 30% of the item cost.

(2) If a provider adds value to durable medical equipment (such as by complex assembly, modification, or special fabrication), then the provider may charge a reasonable fee for those services. Unpacking an item or simple fitting may not be billed. Extensive fitting of devices may be billed.

Mont. Admin. r. 24.29.1523

NEW, 2013 MAR p. 1185, Eff. 7/12/13; AMD, 2024 MAR p. 1066, Eff. 5/11/2024

AUTH: 39-71-203, MCA; IMP: 39-71-704, MCA