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Mississippi Medicaid (DOM)Medicaid · Reimbursement · Prior Authorization · MSHigh impact

DME PROVIDERS: Code A9276 (Disposable Sensor) Rate Change effective April 1

Act
by Mar 31, 2024
Effective date
Apr 1, 2024
Identified
Sep 29, 2026

Summary

Effective April 1, 2024, the daily reimbursement rate for HCPCS code A9276 (Disposable Sensor) is decreasing from $168.66 to $16.87 per day. This represents a 90% rate reduction that will significantly impact DME provider revenue for this specific code.

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What to do

by Mar 31, 2024 · 4 steps
01Billing team must update all billing software and fee schedules to reflect the new A9276 rate of $16.87/day (down from $168.66/day).
02Update any contracts, rate sheets, and internal documentation.
03Verify that claims submitted on or after April 1, 2024 process at the new rate.
04Contact the Provider and Beneficiary Services Call Center at (800) 884-3222 or your designated Provider Field Representative (https://medicaid.ms.gov/wp-content/uploads/2024/03/Provider-Field-Representatives-1.pdf) if claims do not process at the corrected rate.
If missed: Failure to update systems may result in billing errors and payment discrepancies.

Codes mentioned

A9276

Original notice

DME PROVIDERS: Code A9276 (Disposable Sensor) Rate Change effective April 1
medicaid.ms.gov · Always check the source before changing claims.
View original ↗

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Mississippi Medicaid (DOM) policiesMS policy changesCode A9276

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