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Tag: Reasonable and necessary


CMS delays rule outlining new technology pathway 

March 15, 2021HME News Staff

WASHINGTON – CMS has delayed the January effective date of a final rule that established a Medicare coverage pathway to provide beneficiaries access to new, innovative medical devices designated as breakthrough technology by the U.S. Food and Drug Administration.  The agency says it is delaying the final rule’s effective date for 60 days to ensure that the rulemaking process was procedurally adequate; that it properly...

Innovative technology, Medicare Coverage of Innovative Technology (MCIT), Medicare coverage pathway, Reasonable and necessary

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CMS seeks to modify 'reasonable and necessary,' establish MCIT

September 1, 2020HME News Staff

WASHINGTON - CMS has published a proposed rule that seeks to codify in regulations the definition of “reasonable and necessary” with modifications, including adding a reference to Medicare patients and a reference to commercial health insurer coverage policies. CMS proposes that an item or service would be considered “reasonable and necessary” if it is safe and effective; not experimental or investigational; and appropriate for Medicare patients, including the duration and...

CMS, Reasonable and necessary, technology

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