MEDICAL SUPPLY AND EQUIPMENT SERVICES PROVIDER IN NEW MEXICO

Fatumata Kaba
Sep 5
4 min read

DELIVERING ESSENTIAL MEDICAL EQUIPMENT AND SUPPLIES FOR HOME AND COMMUNITY-BASED CARE

Medical Supply and Equipment Services in New Mexico provide individuals with disabilities, chronic conditions, or age-related health needs with the necessary medical devices and supplies to enhance their quality of life. These services ensure that individuals have access to durable medical equipment (DME) and essential medical supplies, delivered and maintained in a timely manner. Medical Supply and Equipment Services are authorized under New Mexico Medicaid Home and Community-Based Services (HCBS) Waiver programs.

1. GOVERNING AGENCIES

Agency: New Mexico Human Services Department (HSD)

Role: Administers Medicaid waiver funding for Medical Supply and Equipment Services and manages provider enrollment, service authorization, and reimbursement.

Agency: Developmental Disabilities Supports Division (DDSD)

Role: Ensures quality standards, service delivery, and compliance for Medical Supply and Equipment Services under HCBS waiver programs.

Agency: Centers for Medicare & Medicaid Services (CMS)

Role: Provides federal oversight ensuring Medicaid-funded Medical Supply and Equipment Services meet HCBS quality, person-centered planning, and participant protection standards.

2. MEDICAL SUPPLY AND EQUIPMENT SERVICES OVERVIEW

Medical Supply and Equipment Services provide home-based delivery, maintenance, and training on medical equipment for individuals who need support for independent living or health management.

Approved providers may deliver:

Durable Medical Equipment (DME): Wheelchairs, hospital beds, walkers, and mobility aids.
Respiratory Equipment: Oxygen tanks, CPAP machines, ventilators, and related accessories.
Mobility Aids: Crutches, canes, scooters, and adaptive seating.
Orthotic and Prosthetic Devices: Braces, orthotic supports, and prosthetic limbs.
Daily Living Aids: Grab bars, shower chairs, and adaptive utensils.
Home Modifications: Ramps, lifts, and accessibility enhancements.
Wound Care Supplies: Dressings, bandages, and skin protectants.
Incontinence Supplies: Adult diapers, bed pads, and hygiene products.
Monitoring Devices: Blood glucose monitors, blood pressure cuffs, and pulse oximeters.
Training and Maintenance: Guidance on the safe use and upkeep of equipment.

All services are delivered according to the Individualized Service Plan (ISP) to meet the participant’s healthcare and accessibility needs.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Register the business entity with the New Mexico Secretary of State.
Obtain EIN from the IRS and NPI (Type 2).
Enroll as a Medicaid Waiver Medical Supply and Equipment provider via the New Mexico Medicaid Provider Enrollment Portal.
Obtain a DME Supplier License from the New Mexico Regulation and Licensing Department (RLD).
Maintain general liability and professional liability insurance.
Develop policies for equipment distribution, safety checks, and maintenance procedures.
Ensure staff meet background checks, health screenings, and technical training requirements.

4. NEW MEXICO PROVIDER ENROLLMENT PROCESS

Initial Interest and Application:

Complete the Provider Enrollment Application through the New Mexico Medicaid Provider Enrollment Portal for Medical Supply and Equipment Services under HCBS waivers.

Application and Documentation Submission:

Submit Articles of Incorporation, proof of EIN/NPI, DME Supplier License, insurance certificates, and policy manuals.

Program Readiness Review:

HSD and DDSD evaluate provider readiness, including equipment safety, staff qualifications, and distribution protocols.

Approval & Medicaid Enrollment:

Upon approval, providers are authorized to bill Medicaid for Medical Supply and Equipment Services using designated billing codes.

5. REQUIRED DOCUMENTATION

Articles of Incorporation or Business License (New Mexico Secretary of State)
IRS EIN confirmation
NPI confirmation
DME Supplier License
Proof of general and professional liability insurance
Medical Supply and Equipment Services Policy & Procedure Manual including:
- Equipment assessment, procurement, and distribution protocols
- Safety checks, maintenance procedures, and replacement policies
- Staff credentialing, background checks, and training records
- Documentation standards for equipment tracking and Medicaid billing
- HIPAA compliance, participant rights, and grievance handling
- Safety protocols for equipment use, repair, and maintenance
- Quality assurance and compliance monitoring