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Section 4.4 of the NYS Medicaid Program. Durable Medical Equipment Procedure Codes manual defines standard and non-custom- made durable medical equipment. DME Policy Guidelines (PDF, 227.96KB, 28pg.) Free Standing or Hospital Based Ordered Ambulatory Manual Billing Guidelines (PDF, 462.07KB, 72pg.) Free Standing Welcome! Your Provider Manual to the New York Medicaid Program offers you a wealth of information about Medicaid, as well as specific instructions on how to The Workers' Compensation Board has adopted the NYS Medicaid Durable Medical Equipment (DME) Services Fee Schedule. The most recent version of this fee NY Provider Manual. 2. Healthfirst® 10.4 Durable Medical Equipment (DME), Orthotics and Prosthetics, and Medical Supplies . You'll be able to find helpful manuals and reference material, and get answers to questions about New York Medicaid. The site is updated regularly to meet the 2 | UnitedHealthcare Community Plan New York v63.10.2021. © 2022 UnitedHealthcare. Welcome care (including prescriptions, DME, medical supplies,. Total payments for the CGM receiver (any combination of rental or purchase claims) cannot exceed the purchase fee schedule amount. Special Instructions