WASHINGTON--In a focused lobbying effort last week, supporters hit Capitol Hill offices to advocate for a separate benefit category for complex rehab.
 
Held April 21 during the Continuing Education and Legislative Advocacy Conference, members of the National Coalition for Assistive and Rehab Technology and the National Registry of Rehab Technology Specialists made more than 100 visits to legislative offices.
 
Participants told federal lawmakers that complex rehab devices are significantly different from standard DME in terms of population served, associated services rendered, complexity of equipment, specialized staff and more comprehensive quality standards.
 
Congress established precedents for treating customized DME differently when it exempted Group 3 complex power wheelchairs and related accessories from Medicare’s competitive bidding program, and when it established a separate category for orthotic and prosthetic devices in the Balanced Budget Act of 1997.
 
“Continued access to complex rehab technology is threatened because of Medicare’s outdated classification system for durable medical equipment,” said Gary Gilberti, CEO of Baltimore-based Chesapeake Rehab Equipment and NCART president, in a release. “The current reimbursement system does not reflect the range of services furnished by complex rehab technology companies and the complexity of the equipment itself. 
 
“We will continue to see product choice limited and services reduced,” he added. “If unchanged, this will further jeopardize access to appropriate technology for people with severe disabilities.” 
 
Added Sharon Hildebrant, NCART executive director, “The concept of a separate benefit category for complex rehab was well received on the Hill. Most of the offices we visited said a separate category made sense.”
 
NCART is now in the process of refining the concept and will develop a legislative proposal that would establish a separate category for complex rehab, the group said. 
 
The American Association for Homecare's Rehab and Assistive Technology Council also has formed a task force to work on proposed legislation for a separate complex rehab benefit.