Policy Article Revisions Summary for June 14 2018 - JA DME

Outlined below are the principal changes to the DME MAC Policy Articles (PAs) that have been revised and posted. The policies included are Positive Airway Pressure (PAP) Devices for the Treatment of Obstructive Sleep Apnea and Respiratory Assist Devices. Please review the entire LCDs and related PAs for complete information.

Positive Airway Pressure (PAP) Devices for the Treatment of Obstructive Sleep Apnea
Policy Article
Revision Effective Date: 01/01/2017

POLICY SPECIFIC DOCUMENTATION REQUIREMENTS:
ADDED: Direction for REPLACEMENT OF ACCESSORIES FOR MEDICARE-PAID, BENEFICIARY-OWNED EQUIPMENT

06/14/2018: At this time 21st Century Cures Act applies to new and revised LCDs that restrict coverage, which require comment and notice. This revision is to an article that is not a local coverage determination.

Respiratory Assist Devices
Policy Article
Revision Effective Date: 01/01/2017

NON-MEDICAL NECESSITY COVERAGE & PAYMENT RULES:
Added: Direction for REPLACEMENT OF ACCESSORIES FOR MEDICARE-PAID, BENEFICIARY-OWNED EQUIPMENT

06/14/2018: At this time 21st Century Cures Act applies to new and revised LCDs that restrict coverage, which require comment and notice. This revision is to an article that is not a local coverage determination.

Note: The information contained in this article is only a summary of revisions to the LCDs and PAs.  For complete information on any topic, you must review the LCDs and/or PAs.