05.00.32j Speech and Non-Speech Generating Devices
05.00.38j Negative-Pressure Wound Therapy (NPWT) Systems
05.00.39o Ankle-Foot/Knee-Ankle-Foot Orthoses
05.00.42g Patient Lifts
05.00.43f Seat Lift Mechanisms
05.00.47n Knee Orthoses
05.00.54g Power Wheelchairs (PWCs), Power-Operated Vehicles (POVs), and Push-Rim Activated Power-Assist Devices
05.00.55i Wheelchair Cushions and Seating
05.00.56i Hospital Beds and Accessories
05.00.58l Home Oxygen Therapy
05.00.59j Lower Limb Prostheses
05.00.60h Pressure Reducing Support Surfaces
05.00.61f Cervical Traction Devices for In-home Use
05.00.67p Wheelchair Options and Accessories
05.00.73c Neuromuscular Electrical Stimulators (NMES) and Functional Electrical Stimulators (FES)
05.00.74d Transcutaneous Electrical Stimulators (TENS) and Associated Supplies
07.03.05w Sleep Disorder Testing and Positive Airway Pressure Therapy Services and Supplies (Independence)
11.00.06k Treatment of Obstructive Sleep Apnea (OSA) and Primary Snoring
11.15.03k Implantable Infusion Pumps
The purpose of this News Article is to provide advance notice regarding the temporary waiver of certain requirements for Durable Medical Equipment (DME), as well as prosthetics, orthotics, and supplies in response to Coronavirus Disease 2019 (COVID-19).
This News Article addressing DME, prosthetics, orthotics, and supplies is effective from March 6, 2020 through July 31, 2020 and is subject to reevaluation for the duration of the public health emergency.
There is currently an outbreak of respiratory disease caused by a novel coronavirus, which has now been detected both nationally and internationally. The virus has been named “SARS-CoV-2” and the disease it causes has been named “Coronavirus Disease 2019” (COVID-19). The SARS-CoV-2 virus has demonstrated the capability to rapidly spread, leading to significant impacts on healthcare systems and causing societal disruption. The potential public health threat posed by COVID-19 is high globally. To effectively respond to the COVID-19 outbreak, rapid detection of cases and contacts, appropriate clinical management and infection control, and implementation of community mitigation efforts are critical.
During this COVID-19 outbreak, the Company is waiving signature and proof of delivery requirements for Durable Medical Equipment (DME) when a signature cannot be obtained because of the inability to collect signatures. Suppliers should document in the medical record the appropriate date of delivery and that a signature was not able to be obtained because of COVID-19.
During the COVID-19 outbreak, certain DME, as well as prosthetics, orthotics, and supplies replacement requirements (i.e. face-to-face requirement, a new professional provider order, and a new medical necessity documentation) may be waived when an item is lost, destroyed, irreparably damaged, or otherwise rendered unusable. Suppliers must still include a narrative description on the claim explaining the reason why the equipment must be replaced and are reminded to maintain documentation indicating that the DME, prosthetics, orthotics, and supplies were lost, destroyed, irreparably damaged or otherwise rendered unusable or unavailable as a result of the emergency.
"Durable Medical Equipment (DME), prosthetics, orthotics, and supplies" are addressed in the current versions of the following policy bulletins: