CMS proposed Medicare coverage and payment policy changes on Oct. 27 for durable medical equipment, prosthetics, orthotic devices and supplies.
The changes are intended to reduce administrative burdens that block Medicare beneficiaries' timely access to innovative products and to create a more predictable path for Medicare payment, CMS Administrator Seema Verma said in an announcement.
Three specific actions CMS is proposing to streamline and accelerate Medicare coverage, payment and coding for new technologies:
1. Cover external infusion pumps as DME under Medicare Part B in cases where assistance from a skilled home infusion therapy supplier is necessary for safe infusion in the home.
2. Classify all continuous glucose monitors — not just limited to therapeutic ones — as DME, establishing payment amounts for these items as well as related supplies and accessories.
3. Pay more for durable medical equipment, prosthetics, orthotic devices and supplies from suppliers in rural and non-contiguous areas.
Click here for more information on the proposed rule.