CMS Opens Comment Period for Power Seat Elevation Coverage

Published in Government Relations on February 28, 2023

Late on Wednesday, Feb. 15, CMS announced the opening of a comment period relating to the request for Medicare coverage of power seat elevation systems used with complex power wheelchairs. This is a federally required time period that allows the public to submit data, views, and arguments in regards to a current rule. You can read the full announcement from CMS here

CMS determined that power seat elevation systems are reasonable and necessary for individuals using Group 3 power wheelchairs that meet the following condition:

  1. The individual performs weight-bearing transfers to/from the power wheelchair while in the home, using either their upper extremities during a non-level (uneven) sitting transfer and/or their lower extremities during a sit-to-stand transfer. Transfers may be accomplished with or without caregiver assistance and/or the use of assistive equipment (e.g. sliding board, cane, crutch, walker); and,
  2. The individual has undergone a specialty evaluation by a practitioner who has specific training and experience in rehabilitation wheelchair evaluations, such as a physical therapist (PT) or occupational therapist (OT), that assesses the individual’s ability to safely use the seat elevation equipment in the home.

CMS is also seeking comments on whether seat elevation systems should be considered for Group 2 power wheelchairs as well. This is an opportunity to expand access beyond our initial request and we encourage advocates to support this additional coverage in their comments.

What does this mean for you?

There is an immediate need for as many comments to be submitted by March 17, 2023, in support of Medicare coverage of power seat elevation. The comments that are going to mean the most are from the perspectives of the people who are affected the most.

U.S. Rehab has compiled a list of resources that providers can use to spread awareness to collect as many comments as possible:

  1. Email template providers can use to send out to their customers
  2. Social media template anyone can use to post on social media
  3. Find a list of talking points/tips for building your comment here

TAGS

  1. accessibility
  2. advocacy
  3. cms
  4. complex rehab
  5. regulatory
  6. vgm

From Our Experts

Williams Brothers Healthcare Hosts Meet-and-Greet Event with Rep. Erin Houchin thumbnail Williams Brothers Healthcare Hosts Meet-and-Greet Event with Rep. Erin Houchin Last week, Williams Brothers Healthcare organized a meet-and-greet event featuring Representative Erin Houchin (R-IN-9) to address crucial topics related to HME services and the challenges faced by providers. OMEPA's Legislative Triumphs: A Tale of Relationships and Persistence thumbnail OMEPA's Legislative Triumphs: A Tale of Relationships and Persistence Over the past few legislative sessions, Oklahoma Medical Equipment Providers Association (OMEPA) has navigated a legislative rollercoaster. Their commitment to building relationships and advocating for patients has led to significant wins. Audit Climate – Taking The Temperature thumbnail Audit Climate – Taking The Temperature As we near the midpoint of 2024, what are the main billing/reimbursement headaches being faced by providers? [Vlog] Oxygen Policy Update thumbnail [Vlog] Oxygen Policy Update Listen in as Ronda Buhrmester clarifies the language of the oxygen policy around the co-signature that is highly recommended. Elimination of Noncompete Agreements - FTC Final Rule thumbnail Elimination of Noncompete Agreements - FTC Final Rule A 570-page final rule released by the FTC on April 23 will effectively put an end to the use of noncompete agreements between employers and employees. The final rule is scheduled for publication in the Federal Register on May 7, 2024, and will go into effect 120 days from publication (September 4, 2024), barring the results of any legal challenges to the rule. OMEPA Celebrates Another Successful Capitol Rally Day thumbnail OMEPA Celebrates Another Successful Capitol Rally Day On April 23, OMEPA members gathered at the Oklahoma Capitol in support of HB1712. Government Relations: Speak With One Voice thumbnail Government Relations: Speak With One Voice The DMEPOS industry must show a unified front, speak with a unified voice, and together be champions of change. Clarification on Standard Written Orders thumbnail Clarification on Standard Written Orders Recently the DME MACs released a Dear Physician Letter that clarified language on a standard written order (SWO) specifically related to CPAP masks. While the article was great news being welcomed by the industry, it also initiated additional conversation for other PAP supplies such as interfaces and tubing.