The Workers' Compensation Board has adopted the NYS Medicaid durable medical equipment (DME) fee schedule. The most recent DME fee schedule is found in the Department of Health's eMedNY eMedNY web site. This eMedNY site also provides periodic provider communications, announcements, manuals and fee schedules - What's New. Historic fee schedules and other information that is more than four months can be found in the Archives.
The NYS Medicaid durable medical equipment (DME) fee schedule will have these exceptions:
Note: The Medicaid provider manual for durable medical equipment and the policy guidance do not apply to workers' compensation except to the extent such documents contain the Medicaid durable medical equipment fee schedule. Application of the durable medical fee schedule is based on Workers' Compensation statute, rules and regulations in addition to the durable medical equipment fee schedule. Only the Board in the exercise of its adjudicatory function is authorized to determine entitlement to benefits based on the specific facts of a given claim and the application of the law to those facts. No-Fault cases may be subject to differing interpretations. For information regarding No-Fault Insurance, contact NYS Department of Financial Services at dfs.ny.gov.
Notice of Decision dated April 21, 2009, concerning request for fee schedule adjustment: In the Matter of Request by EMPI, 2009 NY Wrk Comp.