ACA Creates Dangers for Some Medicare Patients

Before passage of the Affordable Care Act, the Centers for Medicare and Medicaid Services already required face-to-face exams for certain products, but these requirements have been expanded in the new law. As a result vulnerable disabled people are put at risk when they are forced to leave their homes to visit doctors’ offices, according to the American Association for Homecare. As of April 1, a face-to-face exam must be performed within six months of a prescription for the following:
• All claims for purchases or initial rentals.
• When there is a change in the prescription for the accessory, supply, drug, etc.
• If a local coverage determination requires periodic prescription renewal (i.e., policy requires a new prescription on a scheduled or periodic basis) when an item is replaced, when there is a change in the supplier, and when it is required by state law.

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Last Updated 07/21/2021

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