Medicare Orthotics and Prosthetics: Ending Drop Shipments Without Professional Fitting.
This bill enhances protections for Medicare beneficiaries receiving prosthetics and orthotics, particularly those with limb loss. The core change prohibits Medicare payment for complex devices (like custom orthotics and prostheses) delivered directly to the patient (drop shipment) without professional fitting and training from a qualified practitioner. This ensures patient safety, effective care, and reduces fraud within the system.
Key points
Medicare will no longer pay for prostheses or custom orthotics shipped directly to the home if the patient has not received fitting and training from a qualified specialist.
Easier access to replacement custom-fitted and custom-fabricated orthotic devices when they are damaged or worn out.
Expanding the list of professionals (e.g., physical therapists, orthotists) authorized to provide these services under Medicare rules, potentially improving access to specialized care.
Expired
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