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  • This page, DME and OXY Coverage Guideline Tool, is   offered by
  • MassHealth

DME and OXY Coverage Guideline Tool

Use this form to calculate....

Please note that when repairing a wheelchair or adding any new component or accessories that:

  • requires labor AND
  • the total claim is over $1000

a prior approval is required. This includes all HCPCs that say 'No" or Sometimes" in the description in the online tool.

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