Policy Article Revisions Summary for June 13, 2024 - JD DME

Joint DME MAC Publication
Posted June 13, 2024

Outlined below are the principal changes to the DME MAC Policy Article (PA) that has been revised and posted. The policy included is Manual Wheelchair Bases. Please review the entire Local Coverage Determination (LCD) and related PA for complete information.

Manual Wheelchair Bases

PA

Revision Effective Date: 07/01/2024
POLICY SPECIFIC DOCUMENTATION REQUIREMENTS:
Removed: "When the home assessment is based upon indirectly obtained information, the supplier must, at the time of delivery, verify that the item delivered meets the requirements specified in criterion C."
Revised: "Issues such as the physical layout of the home, surfaces to be traversed, and obstacles must be addressed by and documented in the home assessment." to "Regardless of the method used for the home assessment, issues such as the physical layout of the home, surfaces to be traversed, and obstacles to the use of the selected manual wheelchair must be addressed by and documented in the home assessment."

06/13/2024: At this time the 21st Century Cures Act applies to new and revised LCDs 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/or PAs. For complete information on any topic, you must review the LCDs and/or PAs.

With the update(s) listed above, Noridian would like to remind users how to find the policy that was previously effective. When billing, the supplier should follow guidance that was effective on the date of service. The below steps can be followed to find all previous policies:

1. Open the currently effective policy on the Medical Coverage Database (MCD)
   1. Links to the MCD can be found on the Active LCDs page on the Noridian website
      1. There is a link at the top of the Active LCD page that goes to a full list of the LCDs or PAs, depending on which link is selected OR
      2. There are direct links to all LCDs under the ‘LCD ID number and Effective Date’ column
2. Scroll down to the bottom of the policy
3. Find the section labeled Public Version(s)
4. Look for the link to the policy that was effective on the dates of service in question.
5. Click on hyperlink to go to the policy.