Attached is an email I received regarding complex rehab and Congress that I'm 
sure would benefit many of us! 



Mark your calendars! 



Life is short! Break the rules! Forgive quickly! Kiss slowly! 
Love truly, Laugh uncontrollably . 
And never regret anything that made you smile. 


Prayers and thoughts for you and yours, 

Candy K. 

----- Forwarded Message ----- 
From: "New Mobility" <[email protected]> 
To: [email protected] 
Sent: Tuesday, February 1, 2011 7:04:12 PM 
Subject: National Call-in Day for Complex Rehab Technology 





Life is short! Break the rules! Forgive quickly! Kiss slowly! 
Love truly, Laugh uncontrollably . 
And never regret anything that made you smile. 


Prayers and thoughts for you and yours, 

Candy K. 

----- Forwarded Message ----- 
From: "New Mobility" <[email protected]> 
To: [email protected] 
Sent: Tuesday, February 1, 2011 7:04:12 PM 
Subject: National Call-in Day for Complex Rehab Technology 





  Do you want to make a difference? 
Join with thousands of other concerned citizens to help assure access 
for people with disabilities to the Complex Rehab Technology they require. 



  


  Mark the date! 




* Tell your clients, patients, family, friends, colleagues, and workmates. * 
Tell anyone else you know who might feel that Americans with disabilities need 
access to the technology that improves their function, health and enhances the 
quality of their lives. * Tell them that, for this initiative to be successful, 
each of them needs to call their Members of Congress on February 16 . * Tell 
them to let their Members of Congress know they should support legislation to 
establish a Separate Benefit Category for Complex Rehab Technology under 
Medicare . 


We are asking Congress to create a separate CRT benefit category under the 
Medicare program. This would include the elimination of Medicare's "In the 
Home" restriction for CRT products as well as the requirements laid out by the 
disability community in the document below. Our objective is to improve access 
for people of all ages, whether covered by Medicare, Medicaid or private 
insurance. 


___________________________________________________________________________________________
 


  Go to CELAadvocacy.org - Register to make a difference. 
For the hundreds of you who have alredy registered, thank you. You will receive 
your information packet within the next 2 weeks . 
____________________________________________________________________________________________________________________________________________________________
 


  Download an easier-to-read, printer friendly copy of this document 


  Ensuring Consumer Access to Complex Rehab Technology 
Requirements for Maximizing Outcomes 


Complex Rehab Technology (CRT) products are defined as medically necessary, 
individually configured devices that require evaluation, configuration, 
fitting, adjustment or programming. Examples of CRT include individually 
configured manual wheelchair systems, power wheelchair systems, adaptive 
seating systems, alternative positioning systems and other mobility devices. 
These products and services are designed to meet the specific and unique 
medical, physical, and functional needs of an individual with a primary 
diagnosis resulting from a congenital disorder, progressive or degenerative 
neuromuscular disease, or from certain types of injury or trauma. 
  
CRT is essential for the health and well-being of people with disabilities who 
require the equipment and services and for their caregivers. The proper access 
to and provision of CRT products and services is critical for the independence, 
well-being, and ability of people with disabilities to live, attend school, 
work, worship and participate in their communities. To ensure there is 
appropriate access, the following requirements must be incorporated into all 
applicable policies and practices: 








    • Consumers require a choice of appropriate quality equipment and services 
and the opportunity for input during the evaluation, selection, and procurement 
processes. 
    • Consumers require access to a thorough evaluation by qualified clinicians 
and suppliers. 
    • Consumers require transparency in the funding process and associated 
decisions, including an option for the consumer to provide supplementary 
funding above available allowable payment amounts. 
    • Consumers require adequate customization, integration, fitting, 
adjustment, and training along with appropriate post-delivery maintenance and 
timely repair. 
    • Consumers require that clinicians and suppliers be held accountable to 
appropriate quality and service standards. 
    • Consumers require responsiveness from clinicians, suppliers, 
manufacturers, and payers along with timely complaint resolution and consumer 
recourse. 
    • Consumers require that physicians, case managers, social workers, 
discharge planners, and other referral sources be provided a clear and concise 
process for making a referral for prescribed CRT. 
    • Consumers require that physicians, other prescribing medical 
professionals, clinicians and suppliers be provided a clearly defined set of 
coverage and payment policies with reasonable, consistent, and explicit 
documentation requirements regarding medical necessity. 
    • Consumers require that policies recognize the services and support 
systems necessary to evaluate, research, simulate, assemble, fit, educate and 
maintain the prescribed CRT. 
    • Consumers require that payers establish adequate payment schedules that 
are appropriate given the product and service costs involved. 
    • Consumers require replacement of prescribed CRT when the cost of repair 
exceeds 50% of the cost of replacement, regardless of the length of time it is 
in use. 
    • Consumers require that payers allow the option for suppliers to obtain 
prior funding approval for uncertain coverage situations. 



In recognition of these stated requirements, CRT stakeholders and supporters 
request that federal, state and local policymakers and agencies incorporate 
these into all related coverage, payment, and quality standards policies to 
ensure appropriate access to prescribed CRT products and services for people 
with disabilities. 
__________________________________________________________________________________________________
 








Consumer Advocacy Group Support 
  
The initiative to create a Separate Benefit Category for Complex Rehab 
Technology under Medicare is supported by the ITEM Coalition, whose 70 members 
include: 

*AAPD - American Association of People with Disability; 
*BIAA - Brain Injury Association of America; 
*Christopher Reeves Paralysis Foundation; 
*Easter Seals; 
*NCIL - National Council on Independent Living; 
*NSCIA - National Spinal Cord Injury Association; 
*National Stroke Association; 
*National Multiple Sclerosis Association; 
*SBAA - Spina Bifida Association of America; 
*UCPA - United Cerebral Palsy Association; and 
*United Spinal Association. 

You can view the entire ITEM Coalition membership list at:  
http://itemcoalition.org/members.html   
  


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