General
Chapter 1
Section 12
Oxygen And Related Supplies
Issue Date: August 26, 1985
Revision:
1.0 APPLICABILITY
This policy is mandatory for reimbursement
of services provided by either network or non-network providers.
However, alternative network reimbursement methodologies are permitted
when approved by the Defense Health Agency (DHA) and specifically
included in the network provider agreement.
2.0 ISSUE
How are oxygen and supplies related to the
use of oxygen to be reimbursed?
3.0 POLICY
3.1 Payments
may be made for oxygen and for the rental or purchase of the oxygen
concentrator. (Refer to
Section 11 for
Durable Medical Equipment (DME)).
3.2 When the oxygen concentrator
is rented or purchased cost-sharing shall be determined by using
the allowable charge methodology.
3.3 When oxygen concentrators
are cost-shared on a rental basis, the DME cost-sharing policy will not
apply even though the purchase price for this equipment has been
reached.
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