MedicaidCoverageMedium impact
Medical Supplies, Equipment and Appliances Durable Medical Equipment - MEDICAID - FLORIDA (New)
Humana·FL · Physical Therapy, Occupational Therapy, Pediatrics +1 more·Medicaid
Effective date
Jun 13, 2025
We identified it
Jun 24, 2026
Summary
New Humana Florida Medicaid policy establishes coverage criteria for durable medical equipment (DME) and medical supplies, including specific requirements for pediatric walkers, hospital beds, and various therapeutic equipment. The policy defines when DME rental vs purchase is covered and sets replacement/repair guidelines.
Action Required
By June 13, 2025: Billing team must update DME authorization procedures for Florida Medicaid members to ensure all equipment meets the new coverage criteria (withstands repeated use, serves medical purpose, prescribed by practitioner). Update prior auth requests to include justification for specific pediatric walkers and hospital beds per the new guidelines. Note that UpSee Mobility Devices, Rolling Shower Frames, Oscillating Beds, Overbed Tables, and Safety Sleep Beds are now non-covered.