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

Published in Women's Health on June 28, 2023

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

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

  1. essentially women
  2. lymphedema
  3. vgm
  4. vgm government
  5. women's health

From Our Experts

Business Forecasting: Strategies, Types, and Key Insights for 2024 thumbnail Business Forecasting: Strategies, Types, and Key Insights for 2024 In our current environment, with the challenges we face in billing, staffing and product availability, and ultimately the sustainability of our businesses, forecasting can be a great tool to help us manage those challenges. Corporate Transparency Act – Reporting Requirements for Certain Businesses in 2024 thumbnail Corporate Transparency Act – Reporting Requirements for Certain Businesses in 2024 Certain U.S. business types, including corporations and LLCs, are now required to submit reports regarding their ownership. Failure to submit these reports can result in both financial penalties and/or prison time. Be sure to read more and find out if this affects you. Leading with Purpose: Empowering Growth and Development thumbnail Leading with Purpose: Empowering Growth and Development In the dynamic landscape of professional development, leadership not only propels individuals toward their full potential but also shapes the culture of the workplace. The IQ vs. EQ Debate: Why Emotional Intelligence Trumps Intellectual Quotient in Effective Leadership thumbnail The IQ vs. EQ Debate: Why Emotional Intelligence Trumps Intellectual Quotient in Effective Leadership While both IQ and EQ hold their own significance, the modern landscape of leadership and interpersonal dynamics is increasingly highlighting the supremacy of emotional intelligence in effective leadership. Embracing Change: Our Journey Toward Diversity, Equity, and Inclusion thumbnail Embracing Change: Our Journey Toward Diversity, Equity, and Inclusion Diverse, equitable, and inclusive companies are better able to respond to challenges, attract top talent, and meet the needs of different customer bases. Soft vs. Hard Skills for Today thumbnail Soft vs. Hard Skills for Today No matter how they were looked at in the past, having people with good soft skills has always been as important to your profit as understanding your billing system. Unlocking the Future: Recruiting and Retaining the Next Generation of Talent thumbnail Unlocking the Future: Recruiting and Retaining the Next Generation of Talent Recruiting and retaining a younger generation of employees is a critical challenge for organizations seeking to stay competitive and innovative in today's rapidly evolving business landscape. Nurturing a Resilient Organizational Culture for Remote and Diverse Teams thumbnail Nurturing a Resilient Organizational Culture for Remote and Diverse Teams As business leaders, cultivating a strong and vibrant organizational culture across remote and diverse teams is essential for driving success and employee engagement.