Medicare Program Integrity Manual (Pub. 100-08), Ch. 5 § 5.1
Home Use of DME, Prosthetics, Orthotics, and Supplies
5.1 – Home Use of DME, Prosthetics, Orthotics, and Supplies
(DMEPOS)
(Rev. 10190; Issued: 06-19-2020; Effective: 01-01-2020; Implementation: 07-01-
2020)
The Social Security Act (the Act) defines those items and services covered by Medicare
and identifies certain conditions for payment. In Section 1834(a)(11) of the Act, Congress
sets forth prescription and face-to-face encounter requirements for certain items. We note
that Section 1834(h)(3) of the Act requires that section 1834(a)(11) of the Act apply to
orthotics and prosthetics in the same manner as it applies to items of DME.
See Pub. 100-04, chapter 20, section 10 for more information related to home use of
DME.