Medicare Managed Care Manual (Pub. 100-16), Ch. 4 § 10.12.3
Brands/Manufacturers of DME not Subject to Limitation
10.12.3 – Brands/Manufacturers of DME not Subject to Limitation
(Rev. 120, Issued: 01-16-15, Effective: 01-01-15, Implementation: 01-01-15)
Some DME items are not interchangeable, that is, they must be tailored to fit individual
enrollees. As a result, such items, as designated by CMS annually, will not be subject to
limitation based on brand or manufacturer or may not be limited under certain
circumstances. Up-to-date information is published annually in the Call Letter.