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Updated DME/OXY Payment & Coverage Guideline Tool

October 29, 2018

Pharmacy providers with a DME or Oxygen and Respiratory Therapy Equipment specialty, and DME and Oxygen providers, please be advised that the MassHealth DME and Oxygen Payment and Coverage Guideline Tool has been updated and posted on the MassHealth website. To confirm that you are using the most recent version of the applicable Tool, go to

This update accommodates the CMS January 2018 DMEPOS HCPCS & Modifier changes that MassHealth has adopted from the EOHHS DME/OXY current fee schedule effective 3/1/18 and related EOHHS administrative bulletins available at

Reminder: Providers need to remain current with EOHHS fee schedules and administrative bulletins.

If you have any questions regarding these changes, please contact the LTSS Provider Service Center at or call 1-844-368-5184.