[Provider] Ostomy supplies and certain durable medical equipment

Provider Notification provider at lists.maine.gov
Mon Jan 12 12:21:54 EST 2009



ATTENTION:		MaineCare Providers who handle Ostomy Supplies and 
                        Certain Medical Equipment 

After a competitive bid, MaineCare has awarded Gulf South Medical Inc. an exclusive contract to supply the codes listed below.  Any of the below-listed supplies must be ordered through Gulf South starting March 1, 2009.  

A representative from Gulf South will contact you to set up your MaineCare account.  If you have questions you may contact Jennifer Cook, Pharmacy Unit Manager, Office of MaineCare Services by phone (207)287-2705 or by email Jennifer.Cook at Maine.gov. 

Thank you for helping to deliver cost effective medical supplies and equipment to Maine Care members.  

Procedure Code	Short Description 	 Old Rate   	  New Rate  
                                         w/ 40% mark-up   w/ 40% mark-up
A4365	Adhesive remover wipes	         $       9.62 	 $       4.00 
A4385	Ost skn barrier sld ext wear	 $      63.00 	 $      62.21 
A4389	Drainable pch w st wear barr	 $      52.90 	 $      51.28 
A4413	2 pc drainable ost pouch	 $      46.80 	 $      34.45 
A5061	Pouch drainable w barrier at	 $      46.90 	 $      46.38 
A5120	SKIN BARRIER, WIPE OR SWAB	 $      26.82 	 $      12.21 
A6021	Collagen dressing <=16 sq in	 $     178.70 	 $     110.03 
A6196	Alginate dressing <=16 sq in	 $      62.50 	 $      52.57 
A6210	Foam drg >16<=48 sq in w/o b	 $     169.30 	 $     102.73 
A6212	Foam drg <=16 sq in w/border	 $      82.50 	 $      73.02 
A6235	Hydrocolld drg >16<=48 w/o b	 $     143.00 	 $     124.57 
A6238	Hydrocolld drg >16<=48 w/bdr	 $      96.85 	 $      50.72 
A6240	Hydrocolld drg filler paste	 $      10.40 	 $       7.97 
A6244	Hydrogel drg >48 in w/o bdr	 $     333.90 	 $     323.67 
A6245	Hydrogel drg <= 16 in w/bdr	 $      30.90 	 $      29.20 
A6246	Hydrogel drg >16<=48 in w/b	 $      84.30 	 $      63.33 
A6247	Hydrogel drg > 48 sq in w/b	 $      20.21 	 $      10.53 
E0100	Cane adjust/fixed with tip	 $      20.19 	 $       7.64 
E0135	Walker folding adjust/fixed	 $      83.43 	 $      40.93 
E0163	Commode chair stationry fxd	 $      93.28 	 $      36.17 
E0240	BATH/SHOWER CHAIR W/WO 
        WHEELS ANY SIZE   	         $      77.45 	 $      19.22 
E0244	Toilet seat raised	         $      53.11 	 $      32.19 
E0245	Tub stool or bench	         $     119.56 	 $      55.78 
A4368	Filter Replacement	         $       N/A   	 $      58.95 

The “New Rates w/40% mark-up” are MaineCare’s new maximum allowed amount for these codes effective March 1 2009. 

 

Is your mailing address up to date with MaineCare?  Please keep MaineCare up to date so your Remittance Statements and checks arrive on time.  Call Provider Enrollment at 1-800-321-5557 Option #6.  

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This is a one-way communication.  Do not reply to this e-mail.  Your e-mail will not receive response.  If you have questions, please call 1-800-321-5557.  


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