Effective Date: January 18, 2024
Rescinded And Replaced: February 15, 2024 (Transmittal 12512)
Purpose:
To clarify and reiterate the documentation requirements for refillable Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS). This transmittal adds business requirement 13480.5.
Key Points:
- Documentation Requirements:
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- Ensure thorough and accurate documentation for refillable DMEPOS items.
- Documentation must support the medical necessity of the refillable item.
- Regulatory Framework:
- Reaffirms existing regulations without mandating reviews of specific items or policy elements.
- Provides guidelines for suppliers to maintain compliance with CMS standards.
- Responsibilities:
- Suppliers must maintain complete and accurate records.
- Providers should document the need for refills adequately and ensure timely updates to patient records.
- Clarification Added:
- The transmittal does not mandate reviews of specific items but ensures that suppliers understand and adhere to the regulatory framework.
- It is critical for suppliers to stay updated with any changes or additions to the documentation requirements.
This update ensures that all suppliers of refillable DMEPOS items understand their documentation responsibilities, thus maintaining compliance with CMS regulations and supporting the medical necessity for these items.
