9/12/2017 - AA Homecare: Blanket Waivers Applied to Texas, Florida, Georgia and South Carolina

Fresh off the press at AA Homecare:

CMS has released expanded guidance and related materials covering replacements for lost/damaged DMEPOS items in the wake recent of Hurricanes.  According to their updated Hurricane resources page, the following blanket waiver language applies to affected suppliers in Texas, Florida, Georgia and South Carolina:

"CMS has determined it is appropriate to issue a blanket waiver to suppliers of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) where DMEPOS is lost, destroyed, irreparably damaged, or otherwise rendered unusable.  Under this waiver, the face-to-face requirement, a new physician’s order, and new medical necessity documentation are not required for replacement. Suppliers must still include a narrative description on the claim explaining the reason why the equipment must be replaced and are reminded to maintain documentation indicating that the DMEPOS was lost, destroyed, irreparably damaged or otherwise rendered unusable as a result of these hurricanes."

Suppliers also need to add a CR modifier to the claim, in addition to submitting the narrative info noted above.

CMS has also:

  • Extended the notification deadline for subcontracting agreements to 30 days.
  • Told AAHomecare that the rental cycle will start over for capped rental and oxygen equipment that are replaced due to this disaster 
See more extensive guidance along with emergency declarations and waivers for Texas, Florida, Georgia, Louisiana and South Carolina on the CMS Hurricane Resources page.

AAHomecare will continue our work with CMS to streamline procedures to help suppliers efficiently serve patients in future emergency situations.

Electronic Billing Services, Inc
138 N Prairie St
Sikeston, MO  63801
Phone: (573) 472-3613
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