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Congressional Update

Breece Fellowship Update; Expanded Coverage of MPKs for K-2 Amputees and Webinar on Challenging Medicare Advantage Denials

Three important developments should be top of mind for NAAOP members this month, namely:

 

Breece Fellowship:  The 2024 George and Dena Breece Fellowship is accepting applications from O&P consumers who are interested in advancing O&P policy and advocacy.  The Breece Fellowship is a competitively-selected, 10-week, Washington, DC-based, paid fellowship each summer.  All fellows must use a prosthetic limb or custom orthoses.  The DEADLINE for applications was February 19th at 12:00 Midnight. 

Medicare Proposes to Expand MPK Coverage:  The DME MAC Medical Directors have announced a major expansion of coverage of fluid, pneumatic, and electronic/microprocessor prosthetic knees for Medicare beneficiaries defined as functional level K-2 limited community ambulators.  Currently, Medicare’s Local Coverage Determination (LCD) for Lower Limb Prosthetics only covers these advanced technology knees for functional level K-3 and above amputees.  The DME MACs are accepting comments until March 2, 2024 which can be submitted electronically to LLPLCDCOMMENTS@cgsadmin.com.  NAAOP strongly supports the proposed LCD and will be suggesting several comments for improvements in the final LCD.  Talking points to this effect to help guide our members in submitting their own comments will soon be posted here on the NAAOP website.

 

Updated Webinar on Challenging Medicare Advantage (MA) Denials of O&P Care:  On March 13, 2024 from 1:00 to 2:00 pm, Eastern Time, NAAOP will host an updated webinar on an important topic:  Challenging MA denials of O&P care through the use of new regulations that went into effect on January 1st.  With more than 50% of Medicare beneficiaries being served through MA plans, these new tools are critical to leveling the playing field for patients and providers seeking coverage of O&P benefits under the program.  This webinar was first presented in the summer of 2023 and is being updated and presented again due to the effective date and the importance of practitioners understanding this information in securing coverage of O&P care for your patients.  Practical instructions and tips for successfully challenging denials will be featured in this webinar.  We encourage all NAAOP members and friends to participate.

 

  • Registration for this webinar will soon be available on the NAAOP website.

 

Thank you for your support and membership in NAAOP.

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Mission

To be a strong, unifying advocate, representing the interests of the O&P patient and practice communities specifically championing causes concerning patient access, funding, and outcomes through leadership in national and state policy formation. We will be the collective voice of our constituents by achieving high quality patient standards through support and empowerment of the clinician-patient partnership.

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