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DME Modification Requirements Clarified for the CSHCN Services Program Effective August 1, 2020

Last updated on 6/26/2020

Information posted June 26, 2020

Effective for dates of service on or after August 1, 2020, durable medical equipment (DME) benefit information will be updated to clarify requirements for modifications for the Children with Special Health Care Needs (CSHCN) Services Program.

Repairs and modifications must be more cost-effective than purchasing a new piece of equipment. The age of the current equipment and the amount of time that remains until the original equipment may be replaced (e.g., every three years for a manual wheelchair and every five years for a power wheelchair), must be considered when reviewing a request for repairs or modifications.

For more information, call the TMHP-CSHCN Services Program Contact Center at 800-568-2413.