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Vermont Medicaid Durable Medical Equipment (DME) Supplement (Section 1, 2, 3) with specific rental and capped rental policies for DVHA claims, including: - 10-month rental cap after which ownership transfers to DVHA; - rentals require RR modifier; - prior authorization with exact codes/modifiers; - non-capped rentals may be purchased if certain modifiers indicate; - look-back period (historical) for reconciling rental payments; - Medicare-based capped rental code list and RR modifiers; - pricing and billing guidance to avoid overpayment; - DVHA rental reimbursement policies specific to professional claims (type M, provider type 009, 014, 015); - usage of 1/10 of purchase price for CRs; - references to related resources (Provider Resources, Fee Schedule, DME criteria, and applicable Administrative Rules).
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