Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 40.3.2.2

Payment for Inexpensive or Routinely Purchased Items

Last amended: 2016Year: 2016Length: 129 wordsOfficial source
40.3.2.2 – Payment for Inexpensive or Routinely Purchased Items (Rev. 3593, Issued: 08-17-16, Effective: 10-01-16, Implementation: 10-03-16) For rented, grandfathered equipment in the inexpensive or routinely purchased payment class, after the total payments for the rented, grandfathered equipment (e.g., folding walker) reach the purchase fee schedule amount for the grandfathered equipment and after the rental payment cap on the accessory (when applicable), the beneficiary must obtain covered accessories (e.g., seat attachment) and supplies only from a contract supplier. The supplier of the grandfathered equipment is no longer permitted to furnish the covered accessories and supplies once the capped rental payment cap on the equipment is reached, with the exception of completing the rental period for accessories whose first month rental began during the rental period for the grandfathered equipment.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 40.3.2.2: Payment for Inexpensive or Routinely Purchased Items | Justis AI