Durable medical equipment (DME) is equipment or appliances manufactured to withstand repeated use; ordered by a physician for use in a client’s home; and required to correct or ameliorate a client's disability, condition, or illness. DME includes vitamin and mineral products. DME is not typically available as a pharmacy benefit.
Certain supplies and select vitamin and mineral products are a covered pharmacy benefit of the following programs:
- CSHCN Services Program
- KHC Program
A pharmacy must enroll as a DME provider to provide the full array of durable medical equipment and supplies. Pharmacies must complete an application at tmhp.com. Contact the TMHP Contact Center or e-mail TMHP Provider Relations to request assistance from the local TMHP provider relations representative in your area. Refer to the TMHP Contact Center section for contact information.
All claims for DME items require a completed Home Health Services (Title XIX) DME/Medical Supplies Physician Order Form (TMHP Form F00030). Refer to the Enrollment - Forms section for this and other enrollment forms.