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February 19 2025 DME Takeback for Hospice Beneficiaries

February 19, 2025: Attention DME Providers: The Michigan Department of Health and Human Services (MDHHS) has identified and corrected a CHAMPS system error that incorrectly allowed payment to Durable Medical Equipment providers for equipment or medical supplies when the beneficiary was enrolled in Hospice in a nursing facility or Hospice in a residence on the date of service. MDHHS does not separately reimburse DMEPOS providers for services related to the beneficiary’s terminal illness when the beneficiary is enrolled in a hospice program (Refer to the Medicaid Provider Manual, Hospice Chapter).

Impacted claims begin on date of service 01/01/2019. MDHHS will begin voiding claims and recouping overpayments starting on the 2/27/2025 Remittance Advice (RA).