0938-AU17 202104 Unified Agenda of Federal Regulatory and Deregulatory Actions 0938 Centers for Medicare & Medicaid Services CMS 0900 Department of Health and Human Services HHS Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Policy Issues and Level II of the Healthcare Common Procedure Coding System (HCPCS) (CMS-1738)

This final rule establishes methodologies for adjusting the Medicare DMEPOS fee schedule amounts using information from the Medicare DMEPOS competitive bidding program for items furnished on or after April 1, 2021, or the date immediately following the duration of the emergency period described in section 1135(g)(1)(B) of the Social Security Act, whichever is later. Among the issues under consideration for this final rule would be to establish procedures for making benefit category and payment determinations for new items and services that are durable medical equipment (DME), prosthetic devices, orthotics and prosthetics, therapeutic shoes and inserts, surgical dressings, or splints, casts, and other devices used for reductions of fractures and dislocations under Medicare Part B. In addition, this rule considers classifying continuous glucose monitors (CGMs) as DME under Medicare Part B and establish fee schedule amounts for these items and related supplies and accessories. This rule would also consider finalizing conforming changes to the regulations related to implementation of section 106 of the Further Consolidated Appropriations Act, 2020.

]]> Other Significant Previously Published in The Unified Agenda Long-Term Actions Yes No 42 CFR 414 42 U.S.C. 1395l 42 U.S.C. 1395m 42 U.S.C. 1395u 42 U.S.C. 1395w-3 Statutory Final 11/04/2023 MMA sec. 902 requires Medicare final rules publish within 3 years of a proposed or interim final rule. Per the CMS notice published December 30, 2004 (69 FR 78442), except for certain Medicare payment regulations and certain other statutorily-mandated regulations, we schedule all Medicare final regulations for publication within the 3-year standardized time limit in the current Unified Agenda. We do not intend to delay publishing a Medicare final regulation for 3 years if we are able to publish it sooner. No NPRM 11/04/2020 85 FR 70358 NPRM Comment Period End 01/04/2021 Final Action 11/00/2023 No Federal State No No No 0938-AT21 Related to Joel Kaiser Director, Division of DMEPOS Policy 0938 Centers for Medicare & Medicaid Services CMS 410 786-6506 joel.kaiser@cms.hhs.gov Center for Medicare, MS: C5-07-26, 7500 Security Boulevard, Baltimore MD 21244