Synapse Health to Manage DME Orders for Medicare Members in Alabama, Arkansas, and South Carolina

May 07, 2026

3 minutes

Synapse Health to Manage DME Orders for Medicare Members in Alabama, Arkansas, and South Carolina

Beginning August 01, 2026, Synapse Health will manage the ordering and fulfillment process for certain durable medical equipment, or DME, in Alabama, Arkansas, and South Carolina for Dual Special Needs Plans, also known as D-SNPs. The update will also apply to Chronic Special Needs Plans, or C-SNPs, in Arkansas.

Synapse Health currently manages DME ordering and fulfillment for individual HMO and PPO UnitedHealthcare Medicare Advantage plans in these three states, as well as C-SNPs in Alabama and South Carolina.

This change will not apply to the following Medicare Advantage plans:

Institutional Special Needs Plans, or I-SNPs
Institutional Equivalent Special Needs Plans, or IE-SNPs
Group retiree plans

Reason for the upcoming change

UnitedHealthcare recognizes that this update changes the existing provider network and the current DME ordering and fulfillment process.

Based on feedback from providers and members, there is an opportunity to improve the overall experience for ordering physicians, DME suppliers, and members.

This expansion builds on Synapse Health’s existing DME management work for other Medicare Advantage products in Alabama, Arkansas, and South Carolina.

What this means for DME prescribers

Starting August 01, 2026, DME managed by Synapse Health should be prescribed through the Synapse Health e-prescribing portal.

In the coming months, a Synapse Health representative will contact prescribers to answer questions and provide support. Prescribers may also schedule personalized training or access self-help resources through the Synapse Health website.

For members who need ongoing DME services after August 1, 2026, Synapse Health will work with current DME providers to help maintain continuity of care or support a transition to a new DME provider when needed. Synapse Health may also contact prescribers if a new order or additional documentation is needed to support the patient’s continued DME needs or plan of care.

What this means for DME providers

Most DME providers that have not already joined the Synapse Health network will need to do so in order to continue providing standard DME for most UnitedHealthcare Medicare Advantage plan members.
Synapse Health will contact DME providers with information about joining its network. Providers may also email JoinOurNetwork@synapsehealth.com for more details.

DME managed by Synapse

Diabetic supplies
Enteral
Home ambulatory
Hospital beds
Insulin therapy
Mobility aids
Negative pressure wound therapy
Ostomy
Oxygen
Respiratory
Respiratory vest
Sleep
Urological
Ventilators
Wheelchairs — standard
Wound care

DME not managed by Synapse

Bone growth stimulators
Cancer treatment
Cardiac defibrillators
Complex rehab
Optune device
Oral devices
Orthotics
Parenteral nutrition, vision, and hearing
Prosthetics

Questions and support

Providers with questions can visit Synapse Health or call 888-336-9363 for assistance.

Services

Credentialing

Credentialing is the rigorous process of verifying a healthcare provider’s qualifications, including their education, training, licenses, and clinical experience. This service ensures that practitioners meet the high standards required by insurance networks and hospitals to provide care and receive reimbursement.

Billing & Collection

Billing and Collection service involves confirming a patient’s insurance coverage, active status, and specific benefits before their appointment. By identifying co-pays, deductibles, and required prior authorizations upfront, staff can prevent claim denials and help patients understand their financial responsibilities.

Eligibility Verification

Eligibility verification is the process of verifying a patient’s health insurance coverage and benefits to determine what services are covered and the level of coverage available. This process is essential for healthcare providers to ensure that they receive proper reimbursement for services rendered and that patients are not left with unexpected medical bills.

Revenue Cycle Management

RCM is the financial process that manages the entire lifecycle of a patient’s account, from the initial appointment scheduling to the final balance payment. It integrates eligibility, coding, billing, and collections into a single, cohesive workflow aimed at maximizing a practice's profitability.

Post Tabs

Latest

Popular

Learn How to Master Telehealth Credentialing

May 1, 2026

2026 Healthcare Revenue Cycle Management Trends

May 1, 2026

Benefits of Outsourcing Telehealth Billing Services

April 26, 2026

1 2 3 … 171 Next »

Testimonials

It has been a wonderful experience working with Sean. He made the credentialing process a breeze with his knowledge and communication skills. I highly recommend Capline.

I

Islamorada Dentistry

Rylan is wonderfull representetive, and very quick to complete all his task. We recomend his services, great company and great costumer service. We give him a 5 star.

D

Dentricity Dental Berkeley

Myra Claire was exceptionally professional and efficient in ushering me through the credentialing process! She maintained communication and was very responsive when I had questions! Very pleased!