INDIANAPOLIS, Ind., April 19, 2013—According to National Government Services, outlined here are the principal changes to DME MAC Local Coverage Determinations (LCDs) and Policy Articles (PAs) that have been revised and posted that pertain to power mobility devices:
LCD:
Revision Effective Date: 06/01/2011 (April 2013 Publication)
• Coverage indications, limitation, and/or medical necessity:
• Changed: Word “Patient” to “Beneficiary”
Documentation requirements:
(Note: The effective date above is not applicable to this section. These revised and added requirements are existing Medicare requirements which are now included in the LCD for easy reference)
• Added: Standard language
• Policy Article
• Revision Effective Date: 05/01/13
Nonmedical necessity coverage and payment rules:
• Added: Preamble and benefit category statement
• Changed: Word “Patient" to "Beneficiary”
