Durable Medical Equipment (DME) policy updates
Track new and updated Durable Medical Equipment (DME) policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| Prior Authorization for Durable Medical Equipment (DME) | Blue Cross Blue Shield - Rhode Island | Clinical | Durable Medical Equipment (DME) | Modified | Oct 1, 2025 |
| Powered lower-limb exoskeletons for ambulation | Blue Cross Blue Shield - Rhode Island | Clinical | Durable Medical Equipment (DME) | Modified | Jul 1, 2021 |
| Medical Coverage Policy | Glucose Monitoring -Home - Non-OneTouch Brand | Blue Cross Blue Shield - Rhode Island | Clinical | Durable Medical Equipment (DME) | Modified | Jun 1, 2021 |
| Glucose Monitoring - Home - Non-OneTouch Brand | Blue Cross Blue Shield - Rhode Island | Clinical | Durable Medical Equipment (DME) | Modified | Jun 1, 2021 |
| Glucose Monitoring Home - Non-OneTouch Brand | Blue Cross Blue Shield - Rhode Island | Clinical | Durable Medical Equipment (DME) | Modified | Jun 1, 2021 |
| Disposable non-powered (single-use) negative pressure wound therapy (NPWT) | Blue Cross Blue Shield - Rhode Island | Clinical | Durable Medical Equipment (DME) | Modified | Jan 7, 2017 |
| Cooling Devices Used in the Home and Outpatient Setting | Blue Cross Blue Shield - Rhode Island | Clinical | Durable Medical Equipment (DME) | Modified | Jun 19, 2012 |
| Wig (Scalp Hair Prosthesis) Coverage Policy | Blue Cross Blue Shield - Rhode Island | Clinical | Durable Medical Equipment (DME) | Modified | Jan 1, 2007 |
| Compression Garments and Stockings Coverage Criteria | Blue Cross Blue Shield - Rhode Island | Clinical | Durable Medical Equipment (DME) | Modified | — |
| Compression garments (stockings, burn garments, gradient pressure aids) coverage criteria | Blue Cross Blue Shield - Rhode Island | Clinical | Durable Medical Equipment (DME) | Modified | — |
OpenPayer is powered by Trek Health's payer performance platform. Trek continuously ingests, validates, and normalizes Transparency in Coverage data alongside payer policies and other commercial payer data to create a structured payer intelligence foundation. OpenPayer uses this foundation to deliver personalized search results, dynamically generated policy pages, and tailored policy monitoring based on each user's payers, specialties, billing codes, and areas of interest. The same intelligence powers broader payer performance workflows, including reimbursement benchmarking, contract evaluation, payer negotiations, and financial decision-making.
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Coverage data is sourced from publicly available payer medical policy documents and updated as payers publish revisions. Read more about where our data comes from. Always consult the primary payer source for clinical decision-making.