Notice: This CMS-approved document has been submitted - Philips ...

CMS-1403-FC
resources and infrastructure needed to deliver or pick-up
HST equipment to and/or from the beneficiary’s home. The
commenter requested that CMS furnish a detailed analysis on
beneficiary access to CPAP supplies and services locally
before implementing such a provision.
Response: This rule does not prohibit IDTFs from
establishing and maintaining sufficient resources and
infrastructure to deliver or pick up HSTs, so long as the
DME supplier who will be furnishing the CPAP to the
beneficiary as a result of the HST is not the same DME
supplier that the IDTF has affiliated with for purposes of
delivering or picking up the HSTs or performing other
functions related to providing the HST. In addition, the
exception we are providing for attended facility-based PSG
is sufficient to maintain beneficiary access at historical
levels before the 2008 NCD.
Comment: One commenter stated that the mission of all
nonprofit healthcare systems includes furnishing care for
the under and un-insured populations. The commenter stated
that healthcare systems would no longer furnish sleep tests
to the under and uninsured if the healthcare system is
prohibited from furnishing CPAP devices to Medicare
beneficiaries.
747