Seating Reimbursement for Home Care

What Span-America wheelchair cushions are covered by Medicare for homecare patients?  How do I know if a patient qualifies for a seat cushion?

This is a single sheet guide to the Medicare patient criteria to qualify for wheelchair seat cushions, and the Span-America products that are approved for each code.

Can you direct me to information from my Medicare Region on coverage for Wheelchair Cushions?

Wheelchair cushion LCDÂ’s (local coverage determinations) including medical review policies are set in conjunction with all 4 regions.   They are housed on the CMS website, and apply to all regions.  Click here for the Wheelchair Seating LCD for all Regions, scroll to the bottom and choose "Accept".

The CMS Website is huge!  Where do I go to learn about billing DME?

Centers for Medicare & Medicaid Services (CMS) Durable Medical Equipment (DME) Center is an excellent site for all forms, questions, and links to billing Medicare for DME.  Click here to access this site.

Is there a convenient place to learn about Medicare for each individual state?

State-by-state information is available in a map form on the Palmetto GBA website.  Click here to access this helpful site.