Complex Rehab Highlights on CMS Waivers and Rules

Published in Complex Rehab on April 02, 2020

CMS released new waivers and rules to increase the flexibility for healthcare providers during the COVID-19 pandemic. Here is a quick overview for CRT:

  1. While it appears PT/OT may be eligible for telehealth there remains questions about the viability of billing and documentation therefore as of this notification telehealth for PTs and OTs is not recommended for the wheelchair evaluation (LCMP specialty evaluation).
  2. CMS indicated that PA will be paused for certain DMEPOS items however as of this notification we don't know which items but are assuming power wheelchairs since they are one of only a few items that require PA and we do not know once implemented if this PAUSE means unavailable or optional. More to come.
  3. This replacement disaster policy doesn't change anything as it is due to loss of item due to a disaster (such as hurricane, flood, etc.) which is not applicable to the Covid-19 emergency.
  4. ATP involvement as of today remains the same as there is no guidance on that and trunk and limb measurements are required to determine the proper equipment therefore in person would still be practical.
  5. Signature requirements HAVE BEEN Loosened (see below).
  6. Advance payment is enacted (see below).

Signature Requirements: CMS is waiving signature and proof of delivery requirements for Part B drugs and Durable Medical Equipment when a signature cannot be obtained because of the inability to collect signatures. Suppliers should document in the medical record the appropriate date of delivery and that a signature was not able to be obtained because of COVID-19.

Accelerated/Advance Payments: In order to increase cash flow to providers impacted by COVID-19, CMS has expanded our current Accelerated and Advance Payment Program. An accelerated/advance payment is a payment intended to provide necessary funds when there is a disruption in claims submission and/or claims processing. CMS is authorized to provide accelerated or advance payments during the period of the public health emergency to any Medicare provider/supplier who submits a request to the appropriate Medicare Administrative Contractor (MAC) and meets the required qualifications. Each MAC will work to review requests and issue payments within seven calendar days of receiving the request. Traditionally, repayment of these advance/accelerated payments begins at 90 days, however for the purposes of the COVID-19 pandemic, CMS has extended the repayment of these accelerated/advance payments to begin 120 days after the date of issuance of the payment. Providers can get more information on this process here.


comments powered by Disqus

From Our Experts

U.S. Rehab Launches a New Telehealth and Complex Rehab Technology Educational Course thumbnail U.S. Rehab Launches a New Telehealth and Complex Rehab Technology Educational Course Dr. Mark Schmeler, Associate Professor and the Vice Chair for Education Training in the Department of Rehabilitation Science & Technology at the University of Pittsburgh, Dan Fedor, Director of Reimbursement for U.S. Rehab, Kyle Walker, Director of Operations of Assistive Technology with VGM Homelink, and Greg Packer, President of U.S. Rehab, talk about a new educational program focused around telehealth and CRT. Complex Rehab ‘Takes Next Step' with New Program thumbnail Complex Rehab ‘Takes Next Step' with New Program More than anything, the University of Pittsburgh's new Master of Rehabilitation Technology program will help to raise awareness among young professionals that specializing in assistive technology is a valid profession, says Mark Schmeler. Packer Perspective: September 2020 thumbnail Packer Perspective: September 2020 “Success is not final; failure is not fatal. It is the courage to continue that counts.” – Winston Churchill I found this quote to be quite appropriate for the current times we are going through this year with the pandemic. Remember that U.S. Rehab and VGM are here for your success and to help ensure that you do not have failure—and that it is not fatal if you do have some. Let Us Help You Prepare for the ATP Exam with the ATP Fundamentals Course! thumbnail Let Us Help You Prepare for the ATP Exam with the ATP Fundamentals Course! U.S. Rehab has partnered with RESNA to offer our members the ATP Fundamentals in Technology course. Designed with the busy AT professional in mind, the ATP Fundamentals Course helps students review and refresh their assistive technology knowledge and identify areas for further study in preparation for the ATP exam. CEUs are available for this class. Class size is limited, so be sure to register by September 28. U.S. Rehab Introduces New-and-Improved Educational Platform thumbnail U.S. Rehab Introduces New-and-Improved Educational Platform We are excited to announce our new educational platform that highlights all of our educational offerings in one simple, easy-to-use website, powered by VGM Education. This new platform is organized to make it simpler for you to find the programs you need for yourself or your staff. Participate in the CRT Clinician/Supplier/Manufacturer Survey thumbnail Participate in the CRT Clinician/Supplier/Manufacturer Survey According to an update from NCART, a national survey of CRT clinicians, suppliers, and manufacturers is being conducted by the CRT Remote Services Consortium and is purposed with collecting information about applications of remote services and telehealth in the CRT provision process, benefits/issues in its use, and what needs to be considered as we plan for the future. Congressional Supporters Needed On The Letter Asking CMS To Exempt CRT Manual Accessories From The Competitive Bidding Program thumbnail Congressional Supporters Needed On The Letter Asking CMS To Exempt CRT Manual Accessories From The Competitive Bidding Program Reps. John Larson and Lee Zeldin have spearheaded a congressional sign-on letter to CMS urging that the agency use its administrative authority to permanently exclude CRT manual accessories from Competitive Bidding Program (CBP) pricing. This request would require CMS to use the same payment policies for accessories on manual chairs as it does for power chairs. Complex Rehab Stakeholders Prep Request, Form Consortium thumbnail Complex Rehab Stakeholders Prep Request, Form Consortium According to a recent article from HME News, complex rehab stakeholders have taken steps to advance key initiatives related to power seat elevation and power standing systems, and telehealth and remote services.