Notice: This CMS-approved document has been submitted - Philips ...
Notice: This CMS-approved document has been submitted - Philips ... Notice: This CMS-approved document has been submitted - Philips ...
CMS-1403-FC (ii) Capped rental items, as defined in §414.229(a), that are not beneficiary-owned in accordance with §414.229(d), §414.229(f)(2), or §414.229(h); and (ii) Capped rental items, as defined in §414.229(a), that are not beneficiary-owned in §414.229(d), §414.229(f)(2), or §414.229(h); and (iii) Oxygen equipment, as described in §414.226. (4) Supplier replacement of beneficiary-owned equipment based on accumulated repair costs. A supplier that transfers title to a capped rental item to a beneficiary in accordance with §414.229(f)(2) is responsible for furnishing replacement equipment at no cost to the beneficiary or to the Medicare program if the carrier determines that the item furnished by the supplier will not last for the entire reasonable useful lifetime established for the equipment in accordance with §414.210(f)(1). In making this determination, the carrier may consider whether the accumulated costs of repair exceed 60 percent of the cost to replace the item. * * * * * 27. Section 414.226 is amended by— A. Revising paragraphs (d)(3), (d)(4), (f), the introductory text of paragraphs (g)(1) and (2), and paragraph (g)(3). 1122
CMS-1403-FC B. Deleting paragraph (g)(4). The revisions read as follows: §414.226 Oxygen and oxygen equipment. * * * * * (d) * * * (3) The fee schedule amount for items described in paragraph (c)(1)(iv) of this section is paid when the beneficiary -- (i) Owns stationary oxygen equipment that requires delivery of gaseous or liquid oxygen contents; or (ii) Rents stationary oxygen equipment that requires delivery of gaseous or liquid oxygen contents after the period of continuous use of 36 months described in paragraph (a)(1) of this section. (4) The fee schedule amount for items described in paragraph (c)(1)(v) of this section is paid when the beneficiary-- (i) Owns portable oxygen equipment described in (c)(1)(ii) of this section; (ii) Rents portable oxygen equipment described in paragraph (c)(1)(ii) of this section during the period of continuous use of 36 months described in paragraph (a)(1) of this section and does not rent stationary oxygen equipment; or 1123
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<strong>CMS</strong>-1403-FC<br />
B. Deleting paragraph (g)(4).<br />
The revisions read as follows:<br />
§414.226 Oxygen and oxygen equipment.<br />
* * * * *<br />
(d) * * *<br />
(3) The fee schedule amount for items described in<br />
paragraph (c)(1)(iv) of this section is paid when the<br />
beneficiary --<br />
(i) Owns stationary oxygen equipment that requires<br />
delivery of gaseous or liquid oxygen contents; or<br />
(ii) Rents stationary oxygen equipment that requires<br />
delivery of gaseous or liquid oxygen contents after the<br />
period of continuous use of 36 months described in<br />
paragraph (a)(1) of this section.<br />
(4) The fee schedule amount for items described in<br />
paragraph (c)(1)(v) of this section is paid when the<br />
beneficiary--<br />
(i) Owns portable oxygen equipment described in<br />
(c)(1)(ii) of this section;<br />
(ii) Rents portable oxygen equipment described in<br />
paragraph (c)(1)(ii) of this section during the period of<br />
continuous use of 36 months described in paragraph (a)(1)<br />
of this section and does not rent stationary oxygen<br />
equipment; or<br />
1123