(1) If the relative value unit is null or not listed on the fee schedule for durable medical equipment, reimbursement is the total of:
- (a) item cost;
- (b) shipping cost; and
- (c) the lesser of $30 or 30% of the item cost.
- (2) If a provider adds value to durable medical equipment (such as by complex assembly, modification, or special fabrication), then the provider may charge a reasonable fee for those services. Unpacking an item or simple fitting may not be billed. Extensive fitting of devices may be billed.
Authorizing statute(s): 39-71-203, MCA
Implementing statute(s): 39-71-704, MCA
History: NEW, 2013 MAR p. 1185, Eff. 7/12/13; AMD, 2024 MAR p. 1066, Eff. 5/11/24.