Ambulatory Devices Commercial - DME 40
PDF, 258 KB Last Updated: 08/08/2025
Ambulatory Devices Medicaid - DME 40
PDF, 252 KB Last Updated: 08/12/2025
Augmentative Communication and Speech Generating Systems Commercial - Durable Medical Equipment 30
PDF, 305 KB Last Updated: 06/04/2025
Augmentative Communication and Speech Generating Systems Medicaid- Durable Medical Equipment 30
PDF, 341 KB Last Updated: 06/04/2025
Automated External Defibrillators (AED) Commercial - Durable Medical Equipment 63
PDF, 262 KB Last Updated: 12/26/2025
Automated External Defibrillators (AED) Medicaid - Durable Medical Equipment 63
PDF, 295 KB Last Updated: 12/26/2025
Compression Stockings, Garments and Devices Commercial - Durable Medical Equipment 04
PDF, 366 KB Last Updated: 01/03/2026
Compression Stockings, Garments and Devices Medicaid - Durable Medical Equipment 04
PDF, 434 KB Last Updated: 01/03/2026
Continuous Glucose Monitoring Systems Commercial - Durable Medical Equipment 10
DOCX, 37 KB Last Updated: 01/03/2026
Continuous Glucose Monitoring Systems Medicaid - Durable Medical Equipment 10
PDF, 318 KB Last Updated: 01/03/2026
Cranial Electrotherapy Stimulation Commercial - Durable Medical Equipment
PDF, 271 KB Last Updated: 05/13/2025
Cranial Electrotherapy Stimulation Medicaid - Durable Medical Equipment 59
PDF, 264 KB Last Updated: 05/15/2025
Diapers and Underpads Medicaid - Durable Medical Equipment 246
PDF, 354 KB Last Updated: 05/13/2025
External Insulin Infusion Pump Commercial - Durable Medical Equipment 11
PDF, 294 KB Last Updated: 09/02/2025
External Insulin Infusion Pump Medicaid - Durable Medical Equipment 11
PDF, 276 KB Last Updated: 09/02/2025
High Frequency Chest Wall Compression Commercial - Durable Medical Equipment 14
PDF, 294 KB Last Updated: 07/02/2025
High Frequency Chest Wall Compression Medicaid - Durable Medical Equipment 14
PDF, 330 KB Last Updated: 07/02/2025
Home Traction Devices Commercial - Durable Medical Equipment 35
DOCX, 31 KB Last Updated: 01/03/2026
Home Traction Devices Medicaid - Durable Medical Equipment 35
PDF, 308 KB Last Updated: 01/03/2026
Hospital Beds and Accessories Commercial - Durable Medical Equipment 03
PDF, 305 KB Last Updated: 10/22/2025
Hospital Beds and Accessories Medicaid - Durable Medical Equipment 03
PDF, 349 KB Last Updated: 10/22/2025
Iontophoresis Treatment for Hyperhidrosis Commercial - Durable Medical Equipment 32
DOCX, 34 KB Last Updated: 01/03/2026
Iontophoresis Treatment for Hyperhidrosis Medicaid - Durable Medical Equipment 32
PDF, 294 KB Last Updated: 01/03/2026
Iontophoresis Treatment for Hyperhidrosis Medicare - Durable Medical Equipment 32
PDF, 260 KB Last Updated: 01/03/2026
Mechanical Stretching Devices Commercial DME 31
PDF, 289 KB Last Updated: 04/01/2026
Mechanical Stretching Devices Medicaid DME 31
PDF, 293 KB Last Updated: 04/01/2026
Needleless Injection Commercial - Durable Medical Equipment 26
PDF, 283 KB Last Updated: 05/15/2025
Needleless Injection Medicaid - Durable Medical Equipment 26
PDF, 311 KB Last Updated: 05/15/2025
Negative Pressure Wound Vac Commercial - Durable Medical Equipment 241
PDF, 277 KB Last Updated: 07/02/2025
Negative Pressure Wound Vac Medicaid - Durable Medical Equipment 241
PDF, 300 KB Last Updated: 07/02/2025
Obstructive Sleep Apnea Devices Commercial - Durable Medical Devices 250
PDF, 237 KB Last Updated: 10/23/2025
Obstructive Sleep Apnea Devices Medicaid - Durable Medical Equipment 250
PDF, 285 KB Last Updated: 10/23/2025
Obstructive Sleep Apnea Devices Medicare - Durable Medical Equipment 250
PDF, 271 KB Last Updated: 10/23/2025
Orthotics and Braces Commercial - Durable Medical Equipment 251
PDF, 363 KB Last Updated: 02/02/2026
Orthotics and Braces Medicaid - Durable Medical Equipment 251
PDF, 423 KB Last Updated: 02/02/2026
Prosthetic Devices Commercial - Durable Medical Equipment 21
PDF, 498 KB Last Updated: 08/01/2025
Prosthetic Devices Medicaid - Durable Medical Equipment 21
PDF, 488 KB Last Updated: 08/01/2025
Scalp Cooling During Chemotherapy Commercial - Durable Medical Equipment 249
PDF, 231 KB Last Updated: 12/01/2025
Scalp Cooling During Chemotherapy Medicaid - Durable Medical Equipment 249
PDF, 279 KB Last Updated: 12/01/2025
Second (Back up) Ventilator Commercial - Durable Medical Equipment 51
PDF, 287 KB Last Updated: 05/13/2025
Second (Back up) Ventilator Medicaid - Durable Medical Equipment 51
PDF, 316 KB Last Updated: 05/14/2025
Specialized Supportive Seating and Medical Car Seats Commercial - Durable Medical Equipment 56
PDF, 288 KB Last Updated: 05/15/2025
Specialized Supportive Seating and Medical Car Seats Medicaid - Durable Medical Equipment 56
PDF, 311 KB Last Updated: 05/13/2025
Specialized Supportive Seating and Medical Car Seats Medicare - Durable Medical Equipment 56
PDF, 280 KB Last Updated: 05/14/2025
Standing Frames Commercial - Durable Medical Equipment 41
PDF, 291 KB Last Updated: 01/19/2026
Standing Frames Medicaid - Durable Medical Equipment 41
PDF, 302 KB Last Updated: 01/19/2026
Transfer Devices and Lifts Commercial - Durable Medical Equipment 42
PDF, 320 KB Last Updated: 01/19/2026
Transfer Devices and Lifts Medicaid - Durable Medical Equipment 42
PDF, 346 KB Last Updated: 01/19/2026
Ultraviolet Light Therapy System for Home Use Commercial - Durable Medical Equipment 60
PDF, 286 KB Last Updated: 08/01/2025
Ultraviolet Light Therapy System for Home Use Medicaid - Durable Medical Equipment 60
PDF, 326 KB Last Updated: 08/01/2025
Vertigo, Tinnitus, and Meniere’s Diagnosis Treatment Devices Commercial - Durable Medical Equipment 225
PDF, 278 KB Last Updated: 05/13/2025
Vertigo, Tinnitus, and Meniere’s Diagnosis Treatment Devices Medicaid - Durable Medical Equipment 225
PDF, 318 KB Last Updated: 05/13/2025
Vertigo, Tinnitus, and Meniere’s Diagnosis Treatment Devices Medicare - Durable Medical Equipment 225
PDF, 288 KB Last Updated: 05/13/2025
Vitrectomy Face-Down Positioning System Commercial - Durable Medical Equipment 33
PDF, 224 KB Last Updated: 10/23/2025
Vitrectomy Face-Down Positioning System Medicaid - Durable Medical Equipment 33
PDF, 257 KB Last Updated: 10/23/2025
Wearable External Cardioverter Defibrillators Commercial - Durable Medical Equipment 24
PDF, 269 KB Last Updated: 10/23/2025
Wearable External Cardioverter Defibrillators Medicaid - Durable Medical Equipment 24
PDF, 302 KB Last Updated: 10/23/2025
Wheelchairs, Power Motorized Devices, Motorized Scooters and Accessories Commercial - Durable Medical Equipment 28
PDF, 518 KB Last Updated: 06/05/2025
Wheelchairs, Power Motorized Devices, Motorized Scooters and Accessories Medicaid - Durable Medical Equipment 28
PDF, 510 KB Last Updated: 06/17/2025