AAHomecare is concerned with the CMS policy on non-consumable supplies as it applies to CPAP. Recently, AAHomecare submitted comments to CMS on the DME MAC bulletin on non-consumable supplies that requires providers to confirm the need for more supplies and refill no sooner than 14 calendars days before the shipping date, confirm the beneficiary request for a refill, and hold off on shipping until 10 calendar days before the beneficiary’s current supply runs out. AAHomecare members...

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Last week, CMS announced that medical necessity no longer has to be met for initial replacement of essential accessories for a beneficiary-owned CPAP device or RAD.  CMS and CMS contractors will now assume that beneficiary-owned CPAP devices and RADs have met their medical necessity requirements through the 13-month continuous usage. This policy only applies to replacement of accessories, and this policy does not apply to devices that have been used for less than 13 continuous months or devices...

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