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Provider update: June 1, 2020

To:  ADvantage DME and Case Management Providers

Subject:  DME Changes – Revised Training Dates

Date:  June 1, 2020

As a result of the CMS Home Health Final Rule of 2016, the majority of DME items will be covered under the ADvantage Member's SoonerCare benefit instead of under the ADvantage Waiver. 

Effective immediately, for DME services lines beginning 7/1/2020 or after, ADvantage will authorize the following DME items only:  

    • A4927 GLOVES, NON-STERILE, PER 100
    • B4100 FOOD THICKENER - ORALLY ADMIN.   

Note: Nutritional supplements will continue to be authorized under ADvantage, but there will be a new process with different codes (no longer T1999). Additional information will be sent out regarding these process changes soon.

OHCA has scheduled trainings related to the DME changes for the dates and times below.  We strongly encourage case managers and DME providers to attend these training now scheduled for:

Wednesday, 6/10/2020 and Tuesday,6/16/2020.

Register now at: http://www.okhca.org/Register (You will need to register separately for each day that you would like to attend.)

AGING SERVICES | MEDICAID SERVICES UNIT

ADvantage Administration | State Plan Personal Care

Office: 918-933-4900 | CareLine: 800-435-4711

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