New Durable Medical Equipment (DME) and the NU Modifier

The Iowa Department of Health and Human Services (HHS) requires the use of the NU Modifier when billing for new medical equipment and supplies to align with the Centers for Medicare and Medicaid Services (CMS) guidelines. This modifier is used for new DME items that are purchased. When using the NU modifier, you are indicating you have furnished the member with a new (never used) piece of equipment. 

For all codes requiring the NU modifier, please refer to  https://med.noridianmedicare.com/web/j

Electronic Billing Tips and FAQ

Iowa Medicaid and the Managed Care Organizations (MCOs) require all Medicaid-enrolled providers to submit claims electronically. This mandatory electronic billing requirement applies to both Fee-for-Service (FFS) and Managed Care claims.

List items for Medicaid Claims and Billing

FFS Claims

 
Have more questions not covered here? 

Please contact Iowa Medicaid Provider Services Unit at 1-800-338-7909, or email at imeproviderservices@hhs.iowa.gov 

MCO Claims

Find more information about submitting electronic claims to the MCOs:

Iowa Total Care

Molina Healthcare of Iowa

Wellpoint