Medicare will pay for those services if they are needed to maintain a person’s ability to perform routine activities of daily living or to prevent deterioration of the person’s condition, the courts said. Medicare beneficiaries do not have to prove that their condition will improve, as the government sometimes contends, the courts said.
CMS stated that all of the DMEPOS supply firms signing contracts meet the agency’s financials standards as well as other requirements including quality standards and state licencing requirements.
CMS declined to state whether any contract offers were withdrawn during the delay in naming the winners.
With just under two months remaining until start of Round 1 implementation and the holiday season upcoming, CMS announced that they will send letters and brochures to beneficiaries in competitive bidding areas explaining the changes that will take place in how they obtain home medical equipment.
The mailings which are expected to go out early next week are part of an educational effort by the agency to try ensuring that beneficiaries maintain continuity of life-sustaining care.
CMS announced today (11/3) that Round 1 would be implemented on January 1. 2012.
From: New York Times
Medicare Standards Are Too Strict, 2 Courts Find
By ROBERT PEAR
WASHINGTON — Two federal courts have ruled that the Obama administration is using overly strict standards to determine whether older Americans are entitled to Medicare coverage of skilled nursing home care and home health care.