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POWER MOBILITY DEVICES  - LOCAL COVERAGE DETERMINATION
EFFECTIVE NOVEMBER 15, 2006

New Medicare requirements for Power Mobility Devices are effective for dates of service on or after November 15, 2006.  The new Medicare Power Mobility Device medical policy includes new HCPCS codes for billing as well as new clinical requirements.  The new PMD LCD (Local Coverage Determination) and Policy Article applies to any power wheelchair or power operated vehicle delivered on or after November 15, 2006.  

Pride has prepared a summary of the highlights of the new PMD (Power Mobility Device) Policy. 

Click here to access the PMD LCD Highlights article

The complete Local Coverage Determination and Policy Article for Power Mobility Devices (PMDs) can be accessed on the CMS web-site as well as through the web-sites for each of the four DME Medicare Administrative Contractors and the three PSCs (Program Safeguard Contractors).

It is also recommended that you access, read, and become familiar with the Wheelchair Options & Accessories Policy as well as the Wheelchair Seating Policy. 

The Medicare web-site links are listed below.

(Once on the CMS, DME MAC, or PSC web-site, go the Medical Policy section.)

The Centers for Medicare & Medicaid Services (CMS) - cms.hhs.gov

Jurisdiction A DME MAC (NHIC, Corp.) - www.medicarenhic.com/dme/

Region A/B DME PSC - http://www.tricenturion.com/

Jurisdiction B DME MAC (Administar) – www.adminastar.com

Region A/B DME PSC - http://www.tricenturion.com/

Jurisdiction C DME MAC (PalmettoGBA) - www.palmettogba.com/palmetto/palmetto.nsf/TemplateNoSlash/Providers%20DMERC?O penDocument

Jurisdiction C PSC (TrustSolutions) - www.trustsolutionsllc.com/DME_PSC_Contract.asp

Jurisdiction D DME MAC (Noridian Administrative Services, LLC) https://www.noridianmedicare.com/dme/index.html

Jurisdiction D PSC (Electronic Data Systems) - www.edssafeguardservices.eds-gov.com/providers/dme/default.asp