Skip to main content

VGM & ASSOCIATESHealthcare MSO

Search GO

Search GO

VGM & ASSOCIATESHealthcare MSO LEARN ABOUT VGM

Important Update: Medicare Coverage for Compression Garments Under Lymphedema Treatment Act

Published in Women's Health on June 28, 2023

The Lymphedema Treatment Act was passed as part of the omnibus package at the end of 2022 and will go into effect January 2024. The legislation allows Medicare to provide coverage for compression garments when prescribed for medical necessity.

The proposed guidelines are expected to be announced very soon.
Once the proposed guidelines are released, it will be important to review the proposal and submit any questions to CMS during the public comment period.

What is known prior to the proposed guidelines being released:

Both standard and custom compression garments will be included
Coverage will be for primary and secondary lymphedema
Patients will need to have a prescription for coverage

What is expected to be part of the proposed guidelines when they are released:

Resupply frequency
Reimbursement
Quantity limits
Criteria for specific product options, ie: custom-fit versus standard-fit garments

Additional resources:

Lymphedema Treatment Act Organization

LTA Public Comment period Video Tutorial

VGM is monitoring this closely and will provide more information as it is released.

TAGS

From Our Experts

Empowered Leadership: Women Driving Excellence in HME thumbnail

Empowered Leadership: Women Driving Excellence in HME A powerful and engaging panel session at the 2024 Focus at Heartland Conference included female leaders in the post-acute homecare industry sharing their perspectives on leadership.

Reflecting on Focus at Heartland Conference 2024: A Vision for Post-Acute Homecare thumbnail

Reflecting on Focus at Heartland Conference 2024: A Vision for Post-Acute Homecare On June 10-12, 2024, nearly 900 members, vendor partners, and speakers made the journey to VGM and Essentially Women's headquarters in Waterloo, Iowa, for the Focus at Heartland Conference.

Government Relations Advocate for the Breast Cancer Patient Equity Act thumbnail

Government Relations Advocate for the Breast Cancer Patient Equity Act The week of June 3rd, Nikki Jensen, VP of Essentially Women and Ike Isaacson, SVP of VGM Government & Regulatory Relations traveled to Washington D.C. to advocate for the Breast Cancer Patient Equity Act.

Your Career Compass: Developing Your Personal Leadership Values thumbnail

Your Career Compass: Developing Your Personal Leadership Values True leadership transcends formal authority—it's about influence, vision, and the impact and value you create.

Final Reminders and Tips for Focus at Heartland Conference 2024 thumbnail

Final Reminders and Tips for Focus at Heartland Conference 2024 The 2024 Focus at Heartland Conference is quickly approaching, and VGM and Essentially Women are excited to welcome all attendees to Waterloo, Iowa, for two days of unlimited networking opportunities and industry-leading education.

Collaboration in Women's Health and Post-Acute Homecare: Partner Connections at Focus at Heartland 2024 thumbnail

Collaboration in Women's Health and Post-Acute Homecare: Partner Connections at Focus at Heartland 2024 This year at Focus at Heartland Conference, attendees can engage in a new opportunity for connecting with vendor partners on the final day of the conference.

EW's Focus is at Heartland thumbnail

EW's Focus is at Heartland VGM's Heartland Conference will host Focus at Heartland this year, a change that will allow organizers to “go above and beyond” what they offer women's health providers

Heartland Meets Attendees Where They're At thumbnail

Heartland Meets Attendees Where They're At In a strategic shift, the VGM Heartland Conference will open with a greeting from several company leaders to discuss initiatives geared toward helping their members grow.

Be Part of Something Bigger

Become a Member