• This page, Durable Medical Equipment Manual for MassHealth Providers, is offered by
  • MassHealth

Durable Medical Equipment Manual for MassHealth Providers

The Durable Medical Equipment Manual guides providers to the regulations, administrative and billing instructions, and service codes they need.

Administrative regulations and billing regulations apply to all providers and are contained in 130 CMR 450.000. These regulations are reproduced as Subchapters 1, 2, and 3 in this and all other manuals.

Program regulations cover matters that apply specifically to the type of provider for which the manual was prepared. For durable medical equipment providers, those matters are covered in 130 CMR 409.000, reproduced as Subchapter 4 in the Durable Medical Equipment Manual.

The Executive Office of Health and Human Services (EOHHS) establishes rates for MassHealth services. These rate regulations for durable medical equipment services may be found in 101 CMR 322.00.

See the MassHealth DME and Oxygen Payment and Coverage Guidelines Tool for more information about applicable modifiers, place-of-service codes, prior-authorization requirements, service limits, and pricing and markup information.

Table of Contents

Subchapters 1 through 3: Administrative and Billing Regulations for all MassHealth Providers

Subchapter 4: Durable Medical Equipment Providers Regulations

Subchapter 5: Administrative and Billing Instructions for all MassHealth Providers

Subchapter 6: Durable Medical Equipment Service Codes

Appendices for All MassHealth Providers (includes appendices A, C, T, U, V, W, X, Y, and Z)



Open Monday–Friday 8 a.m.–5 p.m.

TTY: 711


(617) 988-8974

Help Us Improve Mass.gov with your feedback