The updated DME Medicaid fee schedule from the Florida Agency for Health Care Administration (AHCA) is now available. And in a Nov. 27 news announcement, the American Association for Homecare (AAHomecare) noted that the new fee schedule “provided the first broad-scope DME reimbursement increase in 23 years.”
The updated fee schedule includes a 7.3-percent increase “based on funds allocated by legislators to the Florida budget,” AAHomecare’s announcement added.
Home medical equipment providers can resubmit claims from Oct. 1 and onward to receive reprocessing at the higher rate.
“Funds were also provided to the MCO [Managed Care Organization] plans to provide rate increases to DME providers,” AAHomecare noted. “If a provider’s fee schedule is not based on the updated Florida Medicaid FFS fee schedule or it is not at 100 percent of the fee schedule rates, contact the MCO plan to negotiate their contracts to ensure receiving the full 7.3 percent increase.”
The association noted the “historic” increase was the result of “a persistent four-year advocacy effort by AAHomecare’s Payer Relations team and FAHCS [Florida Alliance of Home Care Services].”
