Medicaid Durable Medical Equipment Coverage

Start with the Medicaid program or health plan for your state.

States administer Medicaid within federal guidelines, and benefits and coverage arrangements differ. A list of equipment covered elsewhere is not a decision about your own plan.

Questions for your plan

• Is the requested equipment covered for my situation?
• Which providers and suppliers can submit the request?
• Is prior authorization needed, and who obtains it?
• What documentation, rental terms, repair rules and possible costs apply?
• What is the review or appeal route if the request is denied?

Ask for the plan’s written explanation and keep a record of who you spoke with. If you need temporary equipment, check local lending programs while your request is being considered.

Medicaid.gov: benefits and state administration ↗

Find your next step

Browse state programs · Choose equipment · Prepare a checklist · Search equipment programs