If our same-day coverage of the March 25 DME MAC-hosted local coverage determinations (LCDs) meeting for power mobility devices and seat elevation was TL;DR — here are the highlights, as well as our take on their potential impact. — It’s all about preserving individual consideration and access. The DME MACs — Noridian Healthcare Solutions (Jurisdictions…
Commentary: 4 Takeaways from the DME MAC PMD/Seat Elevation LCDs Meeting
DME MAC Meeting: Industry Advocates for Individual Consideration of Seat Elevation on Group 2 Power Wheelchairs
The March 25 meeting included remarks from the ITEM Coalition and NCART.
Two industry speakers shared policy history, clinical evidence and personal experiences in making a passionate case for preserving seat elevation access at the March 25 DME MAC meeting on local coverage determinations (LCDs) for power mobility devices (PMD) and wheelchair options and accessories. The public meeting was cohosted by DME MACs Noridian Healthcare Solutions (Jurisdictions…
DME MACs Announce Meeting on Proposed LCDs for Seat Elevation Coverage on Group 2 Power Chairs
The March 25 virtual meeting will provide time for public comments.
Nearly three years after the Centers for Medicare & Medicaid Services (CMS) affirmed Medicare coverage for power seat elevation on power wheelchairs, the Medicare DME MACs — Noridian Healthcare Solutions (Jurisdictions A and D) and CGS Administrators (Jurisdictions B and C) — have announced a March 25 meeting to discuss proposed local coverage determinations (LCDs)…
Updated Urological Supplies LCD Includes SCI Revision
The change impacts eligibility for sterile catheter kits.
The updated urological supplies local coverage determination (LCD) published by the Medicare DME MAC contractors includes a significant change for patients with spinal cord injuries (SCI). The LCD was published Nov. 13, with an effective date of Jan. 1, 2026. “The LCD incorporates finalized revisions, as a result of the LCD reconsideration process and written…
DME MACs Issue Coding Reminders on PWC Hardware, Accessories
The Medicare contractors cited “confusion” among providers when billing a group of electronics codes.
The DME MAC contractors for the Centers for Medicare & Medicaid Services (CMS) have issued a joint reminder regarding proper coding for power wheelchair hardware and accessories. In the Oct. 2 bulletin, the DME MACs said, “There is confusion regarding the billing of certain power wheelchair electronic codes. This article provides instructions on the appropriate…
Upcoming DME MAC Policy Change Will Facilitate Wheelchair Replacement
Policy revision will apply to wheelchairs from manufacturers who have gone out of business.
A policy change from the Durable Medical Equipment Medicare Administrative Contractors (DME MACs) will make it easier for a Medicare beneficiary to obtain a replacement wheelchair when the manufacturer of the wheelchair has gone out of business and there are no replacement parts — from either the original manufacturer or from aftermarket manufacturers — to…
DME MACs to Allow More Flexibility for MWC Home Assessments
Starting in July, “indirect” home assessments will be allowed for Medicare manual wheelchair claims.
The Durable Medical Equipment Medicare Administrative Contractors (DME MACs) have revised their home assessment requirement for manual wheelchairs provided to Medicare beneficiaries. Starting July 1, 2024, the DME MACs will allow home assessments to be “indirectly” obtained by the supplier who is providing the manual wheelchair. The DME MACs plan to remove the following from…
Briefly: NCART Hires Marketing Veteran; Noridian Wins Jurisdiction D Re-Award
Featuring the National Coalition of Rehabilitation Technology Suppliers and Noridian Healthcare Solutions.
Barry Steelman to Lead NCART Marketing, Communication Efforts NCART has hired marketing and Complex Rehab Technology (CRT) industry veteran Barry Steelman to lead the organization’s marketing and communications campaigns. Steelman entered the CRT industry in 2001, when he became Permobil’s marketing manager. He has also served as director of marketing for Stealth Products, and now,…