Four Senators have penned a letter to the Centers for Medicare & Medicaid Services (CMS) to ask for a review of the agency’s infamous “in-the-home” requirement for Medicare-purchased mobility equipment.
In the Sept. 7 letter, Senators Maggie Hassan (D-N.H.), Marsha Blackburn (R-Tenn.), Bob Casey (D-Pa.), and Tammy Duckworth (D-Ill.) wrote to CMS Administrator Chiquita Brooks-LaSure and Department of Health & Human Services General Counsel Samuel Bagenstos.
“We are writing to urge Centers for Medicare and Medicaid Services to conduct a full review of its 2005 National Coverage Determination for Mobility Assistive Equipment (MAE) for Medicare beneficiaries, including its interpretation of the ‘in the home’ requirement,” the letter said. “Current Medicare coverage limitations on equipment used outside the home can limit patients’ access to mobility equipment and to their communities. While we commend CMS for the recent announcement to cover seat elevation technology in Medicare-covered power wheelchairs, more must be done to ensure beneficiaries can access MAE.”
The bipartisan group of Senators said that interpreting Medicare’s mobility coverage responsibilities as only covering activities of daily living within a beneficiary’s home results in claims denials for wheelchairs and can slow down the process of obtaining medically necessary equipment.
“These delays can result in health injuries and secondary health conditions, increasing costs for the program and taxpayers,” the Senators said in the letter.
Providing relevant mobility equipment in a timely manner “can enable beneficiaries with disabilities to fully participate in community life,” they added.
Read the entire letter here.