Custom Wheelchair Evaluation Form [748KB PDF]
Effective July 1, 2014 Category Lists for the HCPCS Codes for Enteral Formula [139KB PDF]
For more information about the Durable Medical Equipment Program, please visit our fiscal agent’s Web Portal. Click on Provider Services and then under Provider Support, you may choose from a variety of options that include Provider Handbooks and Provider Fee Schedules. Select the appropriate Durable Medical Equipment document.