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<strong>CMS</strong>-1403-FC<br />

settings is expected to have a minimal impact on Medicare<br />

expenditures.<br />

9. Section 144(b): Repeal of Transfer of Title for Oxygen<br />

Equipment<br />

1084<br />

The revisions pertaining to oxygen and oxygen equipment<br />

in section III.J. of this final rule with comment period<br />

reflect changes made by the MIPPA. Prior to the MIPPA,<br />

section 1834(a)(5)(F) of the Act limited monthly payments to<br />

suppliers furnishing oxygen equipment to 36 months of<br />

continuous use. At the end of this 36-month period,<br />

suppliers were required to transfer title to oxygen<br />

equipment rented on or after January 1, 2006 to the<br />

beneficiary. Section 144(b) of the MIPPA repealed the<br />

transfer of title provision. In its place, section 144(b)<br />

establishes a 36-month rental cap and amends section<br />

1834(a)(5)(F) of the Act by adding additional payment rules<br />

discussed previously in this preamble.<br />

These changes may provide an economic benefit to<br />

suppliers because they will now retain ownership of oxygen<br />

equipment after 36 months of rental payments. If a<br />

beneficiary stops needing oxygen after the 36-month rental<br />

cap but before the end of the reasonable useful lifetime of<br />

the equipment (currently 5 years), the supplier will be<br />

able to retrieve the equipment and rent it to another<br />

Medicare beneficiary or other customer and receive

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