CommercialReimbursementMedium impact
DME Reimbursement Update
Blue Cross Blue Shield of Wyoming·WY · Pulmonology, PM&R (Physical Medicine & Rehab), Orthopedics·Reimbursement
Effective date
Jun 1, 2025
We identified it
Jun 19, 2026
Summary
BCBSWY is updating DME reimbursement rates effective June 1, 2025, based on Medicare's DMEPOS 2024 non-rural schedule. Respiratory equipment will be reimbursed at 140% of the fee schedule, while non-respiratory equipment will be reimbursed at 100%.
Action Required
Before June 1, 2025: Billing team must update fee schedules and expected reimbursement amounts for all DME claims to reflect new rates - respiratory equipment at 140% of Medicare DMEPOS 2024 non-rural schedule and non-respiratory equipment at 100%. Update billing system calculations and patient financial counseling materials to reflect the new reimbursement structure.