+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

TRICARE program; clarification of benefit coverage of durable equipment and ordering or prescribing durable equipment; clarification of benefit coverage of assistive technology devises under the Extended Care Health Option Program. Final rule



TRICARE program; clarification of benefit coverage of durable equipment and ordering or prescribing durable equipment; clarification of benefit coverage of assistive technology devises under the Extended Care Health Option Program. Final rule



Federal Register 79(250): 78707-78714



This final rule modifies the TRICARE regulation to add a definition of assistive technology (AT) devices for purposes of benefit coverage under the TRICARE Extended Care Health Option (ECHO) Program and to amend the definitions of durable equipment (DE) and durable medical equipment (DME) to better conform the language in the regulation to the statute. The final rule amends the language that specifically limits ordering or prescribing of DME to only a physician under the Basic Program, as this amendment will allow certain other TRICARE authorized individual professional providers, acting within the scope of their licensure, to order or prescribe DME. This final rule also incorporates a policy clarification relating to luxury, deluxe, or immaterial features of equipment or devices. That is, TRICARE cannot reimburse for the luxury, deluxe, or immaterial features of equipment or devices, but can reimburse for the base or basic equipment or device that meet the beneficiary's needs. Beneficiaries may choose to pay the provider for the luxury, deluxe, or immaterial features if they desire their equipment or device to have these "extra features."

Please choose payment method:






(PDF emailed within 1 workday: $29.90)

Accession: 058967907

Download citation: RISBibTeXText

PMID: 25562895


Related references

Medicare program; end-stage renal disease prospective payment system and quality incentive program; ambulance fee schedule; durable medical equipment; and competitive acquisition of certain durable medical equipment prosthetics, orthotics and supplies. Final rule. Federal Register 76(218): 70228-70316, 2011

Health Care Financing Administration--Medicare program; payment for durable medical equipment. Final rule. Federal Register 45(128 Pt 1): 44287-44292, 1980

Civilian Health and Medical Program of the Uniformed Services (CHAMPUS); TRICARE program; uniform HMO benefit; special health care delivery programs--DoD. Final rule. Federal Register 60(193): 52078-52103, 1995

TRICARE: relationship between the TRICARE program and employer-sponsored group health coverage. Final rule. Federal Register 75(68): 18051-5, 2010

TRICARE; Continued Health Care Benefit Program expansion. Final rule. Federal Register 76(180): 57637-57641, 2011

Medicare program; continuous use of durable medical equipment--HCFA. Final rule. Federal Register 57(233): 57109-57111, 1992

Medicare program; End-Stage Renal Disease prospective payment system, quality incentive program, and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies. Final rule. Federal Register 79(215): 66119-66265, 2014

Medicare Program; End-Stage Renal Disease Prospective Payment System, Coverage and Payment for Renal Dialysis Services Furnished to Individuals With Acute Kidney Injury, End-Stage Renal Disease Quality Incentive Program, Durable Medical Equipment, Prosthetics, Orthotics and Supplies Competitive Bidding Program Bid Surety Bonds, State Licensure and Appeals Process for Breach of Contract Actions, Durable Medical Equipment, Prosthetics, Orthotics and Supplies Competitive. Federal Register 81(214): 77834-77969, 2016

Medicare program; home health prospective payment system rate update for calendar year 2007 and Deficit Reduction Act of 2005 changes to Medicare payment for oxygen equipment and capped rental durable medical equipment; final rule. Federal Register 71(217): 65883-66006, 2006

TRICARE; sub-acute care program; uniform skilled nursing facility benefit; home health care benefit; adopting Medicare payment methods for skilled nursing facilities and home health care providers. Final rule. Federal Register 70(204): 61368-61379, 2005

Medicare program; continuous use of durable medical equipment--HCFA. Interim final rule with comment period. Federal Register 56(196): 50821-4, 1991

Medicare program; payment for durable medical equipment and orthotic and prosthetic devices--HCFA. Final rule. Federal Register 60(131): 35492-8, 1995

Medicare program; durable medical equipment regional carrier service areas and related matters. Final rule. Federal Register 70(37): 9232-9239, 2005

Medicare Program; Prior Authorization Process for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies. Final rule. Federal Register 80(250): 81673-81707, 2016

TRICARE; TRICARE retiree dental program (TRDP) basic benefit descriptions and administrative corrections. Final rule. Federal Register 72(184): 54212-4, 2007