This medical device supply agreement is an agreement that allows the buyer to purchase certain products to be used in the manufacture of its own medical products. The supplier will manufacture, purchase, or assemble the components and sell them to the buyer for use in manufacturing those medical products.
Rhode Island Medical Device Supply Agreement
Category:
State:
Multi-State
Control #:
US-TC0613
Format:
Word;
PDF;
Rich Text
Instant download
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How to fill out Medical Device Supply Agreement?
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Equipment and supplies ordered by a health care provider for everyday or extended use. Coverage for DME may include: oxygen equipment, wheelchairs, crutches or blood testing strips for diabetics. Preview plans and prices based on your income.
In September 2016, RI Medicaid converted member identification (MID) numbers, formerly 9 digit social security numbers, to a randomly generated 10 digit ID number. Providers should make note of the new ID number, as well as request that the beneficiary produce their Medicaid Identification cards.
The tax does not apply to sale or rental of prosthetic devices, sold on prescription including artificial limbs, dentures, spectacles and eyeglasses, artificial eyes and braces. Artificial hearing devices and hearing aids are also exempt whether or not sold on prescription.
The Rhode Island Medical Assistance Program, also known as "Medicaid", is a Federal and state funded program that pays for medical and health related services for eligible Rhode Islanders.
Payer Name: Medicaid - Rhode Island|Payer ID: MCDRI|Professional (CMS 1500)