Durable Medical Equipment, Prosthetics, Orthotics, Oxygen & Respiratory (DMEPOS)

Find information and resources about accessing durable medical equipment (DME), oxygen and respiratory supplies (OXY), orthotics (ORT), and prosthetics (PRT).

DMEPOS Program Overview

The MassHealth DMEPOS Program consists of:

 Four (4) Program Regulations

1. Durable Medical Equipment – 130 CMR 409.00 
2. Prosthetics Services – 130 CMR 428.00 
3. Orthotics Services – 130 CMR 442.00 
4. Oxygen and Respiratory Therapy Equipment – 130 CMR 427.00 

Two (2) Pricing Regulations

1. Durable Medical Equipment, Oxygen and Respiratory Therapy Equipment – 101 CMR 322.00
2. Prostheses, Prosthetic Devices and Orthotic Devices – 101 CMR 334.00 

Two (2) Payment Tools

1. MassHealth Durable Medical Equipment and Oxygen Payment and Coverage Guideline Tool
2. MassHealth Orthotics and Prosthetics Payment and Coverage Guideline Tool

Certain products have established Guidelines for Medical Necessity

• MassHealth Guidelines for Medical Necessity Determination

How to Get Help with DMEPOS Issues

1. 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: [phone]

• By E-mail: [e-mail]

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.

2. ​​​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: Every Tuesday
• 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 [phone] or [e-mail]

3. 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: [e-mail]