Medicaid Coverage Needs Improvement

Medicaid Coverage Needs Improvement. This state currently provides coverage for thickeners through DME reimbursement code B4100 (or B4100-U1). However, the reimbursement rate is currently structured on an ounce-based pricing model, which may create challenges for suppliers providing powdered thickeners. Advocating for updates to the Medicaid reimbursement schedule to a cost-plus model could ensure better access to these essential products. Medicaid recipients qualify for our WeCare patient assistance program to purchase Gelmix and Purathick at a discounted rate to ensure greater accessibility. Click here to learn more.