Disclaimer: Note that the absence or presence of a reimbursement code and its associated allowance on these pages does not guarantee Medicaid coverage of the item or procedure. Please refer to the appropriate West Virginia Medicaid provider manual for coverage determination.
Important Notice! Due the end of the COVID-19 public health emergency, HCPCS Code A4928 - Surgical Mask - per 20, will no longer be covered, effective May 31, 2025.
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PDF / Excel DME 2025 Competitive Bidding Schedule Effecitve 4/1/25 - 3/31/26
PDF / Excel DME CY 2025 Fee Schedule Effective 4/1/25 - 3/31/26
PDF / Excel DME Competitive Bidding Fee Schedule
PDF / Excel DME CY 2024 Fee Schedule
PDF / Excel DME Competitive Bidding Fee Schedule
PDF / Excel DME CY 2023 Fee Schedule
PDF / Excel DME Competitive Bidding Fee Schedule Effective 4/1/23 - 3/31/24
PDF / Excel DME New Procedure Codes Effective 4/1/22 - 3/31/23
