This week, the Centers for Medicare and Medicaid Services (CMS) announced Medicare coverage for Power Seat Elevation Systems as an accessory to Group 3 Power Wheelchairs through a National Coverage Analysis (NCA) with a final National Coverage … [Read more...] about Medicare Will Cover Seat Elevation Systems for Eligible Wheelchair Users
Medicare Part B
Wheelchair Seat Elevation Systems Should be Covered by Medicare
Show Your Support at www.rise4access.org to Advocate for Coverage, Register for Updates, and/or Sign the Coverage Petition Visitors to the lobby of the Christopher and Dana Reeve Foundation headquarters have been greeted by the powerful sight of … [Read more...] about Wheelchair Seat Elevation Systems Should be Covered by Medicare
Beneficiary Access to Complex Rehabilitation Wheelchair Accessories Protected
The Centers for Medicare and Medicaid Services (CMS) finalized a policy that will protect beneficiary access to wheelchair accessories, including seating systems, for Group 3 or higher complex rehabilitation power and manual wheelchairs. Access was … [Read more...] about Beneficiary Access to Complex Rehabilitation Wheelchair Accessories Protected
New Opioid Treatment Program Benefit in Part B
Starting January 1, 2020 Medicare Part B began covering a new Opioid Treatment Program (OTP) benefit. The Centers for Medicare & Medicaid Services (CMS) pay OTPs through bundled payments for opioid use disorder (OUD) treatment services in an … [Read more...] about New Opioid Treatment Program Benefit in Part B
CMS Extends “Equitable Relief” from Part B Late Enrollment Penalties for People Moving from ACA Marketplace Plans to Medicare
CMS will continue offering “Equitable Relief” to Medicare beneficiaries who are confused about the transition from an ACA Health Insurance Exchange (Marketplace) plan to Medicare. Under Equitable Relief, people who are eligible for Medicare and have … [Read more...] about CMS Extends “Equitable Relief” from Part B Late Enrollment Penalties for People Moving from ACA Marketplace Plans to Medicare
Medicare Coverage for Genetic Tests: Know the Facts
Medicare typically covers genetic tests only when a beneficiary has signs or symptoms that can be further clarified by diagnostic testing. Medicare also covers some genetic tests that assess an individual’s ability to metabolize certain drugs. The … [Read more...] about Medicare Coverage for Genetic Tests: Know the Facts
Home Infusion Therapy Services
(The Content below is taken from the Centers for Medicare & medicaid Services: https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/Home-Infusion-Therapy/Overview.html) Home infusion therapy involves the intravenous or subcutaneous … [Read more...] about Home Infusion Therapy Services
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
Don’t Fall for the Distraction: The President’s Prescription Drug Proposal is Much Ado About Much Too Little
With the mid-term elections just days away, the President unveiled a minimal drug proposal in yet another effort to suggest minor changes at a politically opportune time. This is a distraction from the fact that the Administration is … [Read more...] about Don’t Fall for the Distraction: The President’s Prescription Drug Proposal is Much Ado About Much Too Little
Congress DID Repeal Outpatient Therapy Caps Despite Lack of Information on Medicare.gov
The Bipartisan Budget Act of 2018 became law on February 9, 2018. The Act repealed the Medicare outpatient therapy caps, which functioned as a barrier to care for those receiving outpatient therapy services. Section 50202 of the Act, “Repeal of … [Read more...] about Congress DID Repeal Outpatient Therapy Caps Despite Lack of Information on Medicare.gov