COVID-19 (Coronavirus): Certain DME requirements waived

July 29, 2020

This article was revised on July 29, 2020, to update the effective timeline.

AmeriHealth is committed to providing our members with access to the care they need during the COVID-19 pandemic. We encourage all AmeriHealth members and providers to visit our dedicated AmeriHealth New Jersey and AmeriHealth Pennsylvania COVID-19 webpages regularly for the latest news and updates. We will continue to evaluate member needs as the situation changes.

Certain requirements waived

From March 6, 2020, through September 4, 2020, AmeriHealth will temporarily waive certain requirements for Durable Medical Equipment (DME), as well as prosthetics, orthotics, and supplies.

AmeriHealth is waiving signature and proof of delivery requirements for DME when a signature cannot be obtained because of the inability to collect signatures. Suppliers should document in the medical record the appropriate date of delivery and that a signature was not able to be obtained because of COVID-19.

Certain DME, as well as prosthetics, orthotics, and supplies, replacement requirements (i.e., face-to-face requirement, a new professional provider order, and a new medical necessity documentation) may be waived when an item is lost, destroyed, irreparably damaged, or otherwise rendered unusable. Suppliers must still include a narrative description on the claim explaining the reason why the equipment must be replaced and are reminded to maintain documentation indicating that the DME, prosthetics, orthotics, and supplies were lost, destroyed, irreparably damaged, or otherwise rendered unusable or unavailable as a result of the emergency.

Policies

For a complete list of the policies affected by this change, please review the News Article, Waiver of certain requirements during COVID-19 outbreak related to Durable Medical Equipment (DME), prosthetics, orthotics, and supplies, in the News & Announcements section of our Medical Policy Portal.

Learn more

For more information about the AmeriHealth position on COVID-19, please review the following resources: