Verified October 10, 2026 against the statutes, regulations and sources cited below. The state decides every application. All states
What suppliers miss in Washington
- Medicare enrollment is a condition of Washington Medicaid payment for medical equipment and supplies.
Does Washington require a DME supplier license?
Washington has no DME supplier license. Its pharmacy law licenses pharmacies, nonresident pharmacies, manufacturers, wholesalers, shopkeepers and itinerant vendors, and expressly excludes gas and oxygen, therapy equipment and therapeutic equipment from the meaning of drugs and devices.
Citation: RCW 18.64.011(14), 18.64.020-18.64.047
Do out-of-state suppliers shipping into Washington need a license?
No general DME supplier license applies to suppliers shipping into Washington. Washington Medicaid enrolls out-of-state suppliers that are enrolled with Medicare.
- Out-of-state suppliers not covered
- No Washington location required
Citation: WAC 182-543-2000(1)(a)
What does Washington Medicaid add for DME suppliers?
Medical equipment and supply providers, including out-of-state suppliers, must be enrolled with Medicare and hold an NPI, have any business license, certification or bond their services require, and bill on a standard written order. Prosthetics and orthotics providers must meet the licensing rules of the state where they practice.
- Washington State Health Care Authority (Apple Health)
Licensing in Washington?
Washington has no general DME supplier license, but product licenses and Medicaid rules can still apply. We confirm what Washington requires for the products you sell, prepare the application and every attachment for your owner or officer to sign, and track it to a decision. A state DME license is $699 per state.