Contact Your Members of Congress Today to Stop Implementation of Power Wheelchair Policies
As you know, CMS has recently issued coding, pricing and coverage policies implementing the new Medicare Power Mobility Device benefit scheduled to go into effect October 1, 2006.It is imperative that implementation of these policies be delayed until they are modified to ensure that only quality, medically appropriate devices are provided to Medicare beneficiaries. Time must be allowed to permit suppliers to bring their systems and operations into compliance with the new requirements.Contact your members of Congress today!
Ask them to contact CMS Administrator Mark McClellan and HHS Secretary Michael Leavitt in order to facilitate the following specific actions:
1. Postpone the October 1, 2006 effective date for new codes; pricing and coverage policies to resolve all identified issues. Then, publish final pricing, coverage policy and documentation requirements and allow for a 120-day implementation period prior to the effective date.
2. Update the new proposed power mobility code product classifications with corrected data.
3. Establish new fee schedules using a rational methodology and accurate product classifications and pricing data.
4. Make necessary changes to the Local Coverage Determinations to eliminate the risk of Medicare beneficiaries not being able to receive appropriate products and technology.
Back-up information and documents to assist you:
· A white paper developed by NCART – “Ensuring Medicare Beneficiary Access to Power Mobility” – that can be used for background information and a timeline of events when talking to your Congressional Representatives.
· A two-page summary on power wheelchair issues
· A suggested letter that your Congressional
Representative can use as a template when contacting CMS and HHS to delay implementation of these policies.
· Copy of a letter written by Rep. Rick Santorum of PA, and sent to Mark McClellan of CMS, addressing these very issues.
· A letter developed by NCART and sent to the Medical Directors of CMS, addressing our concerns regarding the recently published LCD for power mobility devices. This letter also includes 4 individual case studies outlining the results of beneficiaries receiving inappropriate devices under the new LCD guidelines.
U.S. Rehab, as a supporting member of NCART is available to answer any questions on this information. Please contact us at 800-987-7342.
Click the links below:
PMD LCD Letter
Santorum PMD Letter to McClellan
PWC Summary 8/29/2006
Suggested Letter from Congress
http://www.usrehab.com/files/manual/TEP_Workgroup_letter_Leavitt.docTEP Workgroup Letter Leavitt