In support of regulatory guidance from MassHealth and the Executive Office of Health and Human Services (EOHHS), Point32Health is pleased to share that we will provide an additional $1,000 add-on payment for corrective mobility system timely repairs when provided to Tufts Health Plan Senior Care Options, Tufts Health One Care, and Tufts Health Together members.
These corrective mobility system repair add-on payments are available for eligible durable medical equipment (DME) providers, effective for dates of service beginning Jan. 1, 2025 when all criteria indicated by MassHealth are met:
- Providers must adhere to the requirements set forth in both 101 CMR 322.05 and 130 CMR 409.430, as well as MassHealth’s Sept. 2024 Durable Medical Equipment Provider Bulletin 38.
- Corrective mobility system repairs must be performed within 12 calendar days (from intake to completion and delivery to the member).
- Repairs are billed using modifier U3 in combination with HCPCS procedure code K0739.
- Providers are required to file or make available all records and information necessary to demonstrate compliance with conditions of payment upon EOHHS request — including documentation of how these payments are used.
For additional information, we encourage you to refer to the resources MassHealth makes available to DME providers, and to take advantage of their monthly office hours for any questions you may have (first and third Thursday of every month, from 4:30 – 5 p.m.).