Medicare defines “Durable Medical Equipment” (DME) as items that are: Durable (Covered items must be able to withstand repeated use. Items that are “single-use” in nature are not covered as DME); andAppropriate for use in the “home” (Primarily … [Read more...] about Durable Medical Equipment Resources
Durable Medical Equipment
CMA Comments on “Patients Over Paperwork”
August 12, 2019 SUBMITTED ELECTRONICALLY VIA www.regulations.gov Centers for Medicare and Medicaid Services U.S. Department of Health and Human Services 7500 Security Boulevard Baltimore, MD 21244 Re: CMS-6082-NC; Request for … [Read more...] about CMA Comments on “Patients Over Paperwork”
CMS Expands List of DMEPOS Subject to Prior Authorization as a Condition of Payment
CMS has announced updates to its list of items of durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) that will require prior authorization as a condition of payment. These new items will join 33 types of power wheelchairs that … [Read more...] about CMS Expands List of DMEPOS Subject to Prior Authorization as a Condition of Payment
Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Updates
All Competitive Bid Program Contracts Ended on December 31, 2018. What Beneficiaries Should Know: Equipment in process under the 13 month capped rental program should continue “business as usual”. While providers who do not … [Read more...] about Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Updates
Proposed DMEPOS Rules: Clarification and Enforcement Needed
The Center for Medicare Advocacy (the Center) submitted comments to the Centers for Medicare & Medicaid Services (CMS) regarding proposed rules affecting durable medical equipment, prosthetics, orthotics and supplies (DMEPOS). The Center … [Read more...] about Proposed DMEPOS Rules: Clarification and Enforcement Needed
CMS Releases Issue Brief on Access Challenges of DME for Duals
The Medicare-Medicaid Coordination Office’s Integrated Resource Center (ICRC) of the Center for Medicare & Medicaid Services recently released an issue brief addressing the challenges of access to durable medical equipment (DME) for dually … [Read more...] about CMS Releases Issue Brief on Access Challenges of DME for Duals
Medicare Prior Authorization Requirement for Power Wheelchairs Expanding Nationwide Effective September 1, 2018
Thirty-one new items of durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) will join two existing items of DMEPOS on the Center for Medicare and Medicaid Services (CMS) Master List of Items Frequently Subject to Unnecessary … [Read more...] about Medicare Prior Authorization Requirement for Power Wheelchairs Expanding Nationwide Effective September 1, 2018
CMS Bulletin Moves to Improve Access to Durable Medical Equipment for Dually Eligible Beneficiaries
On January 13, 2017 the Centers for Medicare & Medicaid Services (CMS) posted a State Informational Bulletin encouraging states to adopt strategies to improve dual eligible beneficiaries’ access to Durable Medical Equipment (DME). The … [Read more...] about CMS Bulletin Moves to Improve Access to Durable Medical Equipment for Dually Eligible Beneficiaries
CMA Organizes Sign-On Letter Concerning CMS Request for Information Regarding Dually-Eligible Beneficiaries’ Access to DME
On Friday August 19, 2016, the Center for Medicare Advocacy submitted comments in response to a June 30 request from the Centers for Medicare & Medicaid Services (CMS) for information regarding Durable Medical Equipment (DME) access issues faced … [Read more...] about CMA Organizes Sign-On Letter Concerning CMS Request for Information Regarding Dually-Eligible Beneficiaries’ Access to DME
Proposed Rule: Access to DME for Dually Eligible People
On June 30, 2016 the Centers for Medicare & Medicaid Services (CMS) published a proposed rule about the difficulties of dually eligible people (individuals eligible for both Medicare and Medicaid) to obtain Durable Medical Equipment (DME). The … [Read more...] about Proposed Rule: Access to DME for Dually Eligible People