CMS PROPOSED RULE ON PROSTHETICS AND ORTHOTICS

CMS has published a new proposed rule for providers of prosthetics and orthotics.

The proposed rule would require OTs and PTs to meet Durable Medical Equipment Prosthetics Orthotics and Supplies (DMEPOS) supplier quality and accreditation standards when they furnish and fabricate prosthetics or custom orthotics under the Medicare program. The new rule would require occupational therapists who furnish and fabricate custom orthotics to be “licensed by the state [as a qualified provider of prosthetics and custom orthotics], or…certified by the American Board for Certification in Orthotics and Prosthetics…or by the Board for Orthotist/Prosthetist Certification.” The website and fact sheet from CMS can be found at the location below. NCOTA encourages OT providers to submit their own comments to CMS regarding how this proposed rule would affect your practice and client access to prosthetic and orthotic services. 

CMS Fact Sheet: https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2017-Fact-Sheet-items/2017-01-11.html

Comment Submission: https://www.federalregister.gov/documents/2017/01/12/2017-00425/medicare-program-establishment-of-special-payment-provisions-and-requirements-for-qualified#open-comment

Article from AOTA: http://www.aota.org/Advocacy-Policy/Federal-Reg-Affairs/News/2017/obstacles-proposed-rule-hand-therapists.aspx

R. Bradley Myers, MA, OTR/LClinical Specialist, Carolina Therapy ServicesPolitical/Legislative Chair, North Carolina Occupational Therapy Association