CommercialReimbursementMedium impact
DME Reimbursement Update
Blue Cross Blue Shield of Wyoming·WY · Pulmonology, PM&R (Physical Medicine & Rehab)·Reimbursement
Effective date
Aug 1, 2023
We identified it
Jun 19, 2026
Summary
BCBSWY is updating DME reimbursement rates effective August 1, 2023, based on Medicare's DMEPOS 2023 non-rural schedule. Respiratory equipment will be reimbursed at 108% of the fee schedule, while non-respiratory equipment will be reimbursed at 100% of the fee schedule.
Action Required
By August 1, 2023: Billing team must update fee schedules in billing system for BCBSWY DME claims. Set respiratory equipment reimbursement expectations to 108% of Medicare DMEPOS 2023 non-rural schedule and non-respiratory equipment to 100%. Update financial estimates and patient responsibility calculations for DME services.