New York Medicaid Bolsters Rates for Standing Frame Systems

NEW YORK—Home medical equipment (HME) stakeholders in New York have worked with NYS Medicaid program leaders to adjust rates for standing frame/table systems that provide critical support for children with neuromuscular conditions that impair their ability to stand independently. 

The new rates apply as follows:

• E0638: Standing frame/table system, one position (e.g. upright, supine or prone stander), any size including pediatric, with or without wheels—new rate: $3,264.65 (formerly $1,285.95)
• E0641: Standing frame/table system, multi-position (e.g. three-way stander), any size including pediatric, with or without wheels—new rate: $3,526.92 (formerly $1,680.52) 

“New York’s children with profound medical needs now have access to the most medically appropriate adaptive standers, ensuring they receive the clinical benefits of this equipment,” said Derek Meier, government affairs director with Rifton Equipment. “This achievement stems from the collaborative efforts of AAHomecare, NEMEP, senate advocates and OHIP’s commitment to prioritizing the needs of children through thoughtful and responsive service.”

The new rates go into effect on April 1, 2025. The changes can be seen on page 8 of New York Medicaid’s DME Procedure Codes & Coverage Guidelines.