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CMS to update definitions for shoe inserts

CMS to update definitions for shoe inserts

WASHINGTON - CMS has proposed revising the definitions of custom fabricated and therapeutic inserts in Appendix C of the DMEPOS Quality Standards to account for new technology. Historically, the best way to fit an individual with diabetes for inserts was to create a physical model of their foot using negative impression. CMS now acknowledges, however, that advancements in computer-aided design/computer-aided manufacturing technology eliminate the need to create an actual model of the patient's foot. Instead, CAD/CAM technology now allows the direct milling of an insert without molding or negative impression. CMS has scheduled a Special Open Door Forum on Nov. 28 at 2 p.m. EST to discuss the changes. Stakeholders may email comments on the changes to [email protected] through Dec. 11. CMS plans to finalize the revisions prior to Jan. 1, 2018. The American Orthotics and Prosthetics Association was among the groups pressuring CMS to make the changes.

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