[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 MaineCares 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.
If you would rather not get these e-mails, visit MaineCare's List Serve Subscription page <http://www.maine.gov/dhhs/bms/member/innerthird/listserv.shtml%20> to unsubscribe.
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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