DMEPOS Program Overview
The MassHealth DMEPOS Program consists of:
Four (4) Program Regulations
- Durable Medical Equipment – 130 CMR 409.00
- Prosthetics Services – 130 CMR 428.00
- Orthotics Services – 130 CMR 442.00
- Oxygen and Respiratory Therapy Equipment – 130 CMR 427.00
Two (2) Pricing Regulations
- Durable Medical Equipment, Oxygen and Respiratory Therapy Equipment – 101 CMR 322.00
- Prostheses, Prosthetic Devices and Orthotic Devices – 101 CMR 334.00
Two (2) Payment Tools
- MassHealth Durable Medical Equipment and Oxygen Payment and Coverage Guideline Tool
- MassHealth Orthotics and Prosthetics Payment and Coverage Guideline Tool
Certain products have established Guidelines for Medical Necessity
How to Get Help with DMEPOS Issues
- Contact CCM Clinical Manager
The first step for CCM members and families seeking help with DMEPOS issues should always be to contact their CCM Clinical Manager.
For information on how to contact your CCM Clinical Manager, reach out to CCM:
- By Phone: (800) 863-6068
- By E-mail: CommCase@umass.edu
The CCM Clinical Manager will work with the appropriate CCM Specialist (Occupational Therapist, Physical Therapist, Speech Language Pathologist, Respiratory Therapist, Pharmacist) to assist with outreach and escalate to MassHealth, if appropriate.
- DMEPOS Office Hours
MassHealth holds regular DMEPOS office hours where CCM members and families can raise issues directly to members of the MassHealth DMEPOS and CCM teams
- Day: The first and third Thursday of every month
- Time: 4:30 - 5:00 pm
- Call Information: CCM sends a weekly email to CCM members and families with Zoom call-in information for the office hours. If you have not received the emails, please contact CCM at (800) 863-6068 or CommCase@umass.edu
- MassHealth DMEPOS Program Team Email
If a CCM member’s CCM Clinical Manager is not able to assist with a DEMPOS issue, members and families can reach out to the MassHealth DMEPOS team directly at: DMEPOSprogram@mass.gov