High impact
DME Program Quarterly Updates
Alabama Medicaid·Effective Oct 1, 2026
Alabama Medicaid DME program implements four key updates: (1) updated prosthetics/orthotics provider enrollment criteria effective October 1, 2026; (2) Augmentative Communication Devices (ACDs) can now be delivered to speech language pathologists for setup/training with required delivery ticket documentation effective July 1, 2026; (3) new ACD coverage criteria checklist published; and (4) tracheostomy/laryngectomy tube benefit limits updated to 6 per calendar year for adults (A7520, A7521) effective October 1, 2026, with no change to pediatric limits. Policy also reinforces existing reminders on non-covered shipping charges, prior authorization requirements with valid prescriptions, and proper HCPCS coding.