Metabolic Formula Rate Changes Pending Approval from The Center for Medicare & Medicaid Services

<p>The Department of Health and Human Services, Division of Medical Assistance,&nbsp;provides notice of its intent to amend the Medicaid State Plan to increase the rates for metabolic formula &ndash; Durable Medical Equipment.</p>

Author: Provider Reimbursement

The Department of Health and Human Services, Division of Medical Assistance (DMA), hereby provides notice of its intent to amend the Medicaid State Plan to increase the rates for metabolic formula – Durable Medical Equipment (DME).

If approved by the Centers for Medicare & Medicaid Services (CMS), this amendment will be effective April 3, 2018.

The annual estimated state fiscal impact of this change is:

            a. State Fiscal Year 2019        $604,764

            b. State Fiscal Year 2020        $604,764

State fiscal years run from July 1 to June 30.

A copy of the proposed public notice may be viewed at any county Department of Social Services or on the DMA Medicaid State Plan Public Notices web page under heading, “Proposed Public Notices for State Plan.”

Questions, comments and requests for copies of the proposed State Plan amendment should be directed to DMA at:

           Dave Richard
           Division of Medical Assistance
           2501 Mail Service Center
           Raleigh, NC  27699-2501

Provider Reimbursement
DMA, 919-814-0060

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