VGM & ASSOCIATESHealthcare MSO
Full Menu Search

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

Published in Government Relations 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

  1. lymphedema
  2. vgm
  3. vgm government

Get Connected

Stay up-to-date on the latest resources and news provided by VGM & Associates.

Sign Up for Email

From Our Experts

Put Policy Over Politics thumbnail Put Policy Over Politics Mike “Ike” Isaacson, Senior Vice President (SVP), VGM Government Relations, recently shared his thoughts about the election and the importance of prioritizing effective policymaking over political agendas in the healthcare industry. Breaking: Titanium/Carbon Fiber Upgrade Bill Introduced in the Senate – S.5154 thumbnail Breaking: Titanium/Carbon Fiber Upgrade Bill Introduced in the Senate – S.5154 Senators Marsha Blackburn (R-TN) and Tammy Duckworth (D-IL) introduced the titanium/carbon fiber wheelchair upgrade bill yesterday. [Vlog] Reconsideration Request for RAD and HVM Policy thumbnail [Vlog] Reconsideration Request for RAD and HVM Policy Listen in as Ronda Buhrmester, Sr. Director of Payer Relations and Reimbursement, shares that CMS has released a reconsideration request for the RAD and HVM policy. August of Action Wraps Up with Key Meetings thumbnail August of Action Wraps Up with Key Meetings Earlier this week, CAMPS members met with Rep. Mike Thompson at his Napa office to discuss DMEPOS legislation, H.R.5555. Rep. Thompson, a member of the influential House Ways and Means Committee, engaged in a productive meeting with Paul Ondrusek (Regional Account Manager at VGM and President of CAMPS), Todd Dodds (Owens Medical), and Tony Lewis (New West Medical). VGM & Associates Announces Appointment of Adam Miller as Vice President of Government Relations thumbnail VGM & Associates Announces Appointment of Adam Miller as Vice President of Government Relations VGM & Associates is pleased to announce the appointment of Adam Miller as the new Vice President of Government Relations. August of Action Continues: Key Meetings with Sen. John Thune, Chairman Jason Smith, and Rep. Randy Feenstra thumbnail August of Action Continues: Key Meetings with Sen. John Thune, Chairman Jason Smith, and Rep. Randy Feenstra As the August recess draws to a close, there are still ample opportunities to engage with your legislators before the upcoming election. Throughout October and leading up to the election, legislators will be back in their home states, providing a perfect window to connect with them before the end of the year. Ike Isaacson and Brian Leitten Podcast: The Case for DME Investment Continues to Strengthen thumbnail Ike Isaacson and Brian Leitten Podcast: The Case for DME Investment Continues to Strengthen Listen to Ike Isaacson, SVP of VGM Government Relations, and Brian Leitten, Leitten Consulting, discuss Brian's latest findings related to DME investment and their outlook on competitive bidding. Update: FTC Ban of Noncompetes Blocked thumbnail Update: FTC Ban of Noncompetes Blocked A new ruling this week means that the ban on noncompete agreements cannot and will not go into effect in September. The FTC has not yet said whether they will appeal the decision, but Victoria Graham, a spokesperson for the FTC, said they are considering that option. The FTC could also choose to address noncompete agreements in a different manner, perhaps through enforcement actions.

Give your business an advantage over the competition.

Become a Member