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Congress recommends principles for Medicare coverage of power wheelchairs.

Managed Care Weekly

| December 27, 2004 | COPYRIGHT 2004 NewsRX. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

2004 DEC 27 - (NewsRx.com & NewsRx.net) -- The U.S. Congress is urging the U.S. Centers for Medicare and Medicaid Services (CMS) to develop a more "functional" standard for determining Medicare eligibility for power wheelchairs and to ensure that the government's coverage policy is not keeping people from getting the mobility they need.

Language included in the Omnibus Fiscal 2005 Appropriations Bill Conference Report is a major victory for advocates for senior citizens and Americans with disabilities, as well as clinicians, their patients and power wheelchair manufacturers and suppliers. Representative Don Sherwood (R-PA) inserted language into the House bill and Senators Arlen Specter (R-PA) and Tom Harkin (D-IA) worked to ensure similar language was included in the final version of the bill which was recently passed by Congress.

"The Congress is telling CMS that the country needs a coverage policy for power wheelchairs that provides this equipment to the people who need it," said Scott Meuser, CEO of Pride Mobility Products Corp. "Over the past year, Congress has heard from clinicians and advocates for people with disabilities that the current policy is restricting access to mobility equipment, rather than allowing it to be used to allow citizens across the country to increase their independence and mobility. Now, Congress seems to be sending a direct message to CMS: 'Please fix this.'"

While the language in the Appropriations Bill Conference Report doesn't have any direct authority over how CMS operates, the lawmakers generally expect the spirit of their directives to be followed by government agencies, or Cabinet secretaries and their deputies can expect stern questioning when their budgets are up for approval by Congress.

The coverage guidelines have been an issue since last December when a policy shift limited the Medicare benefit for power wheelchairs to people who could not take a single step in their home. People ...

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