Effective April 13, 2023, Independence Blue Cross and Independence Administrators will update their medical policy on ankle-foot/knee-ankle-foot orthoses for both Commercial and Medicare Advantage members.
For Commercial members, the face-to-face requirement language will change, and criteria will be added to this policy as Not Medically Necessary:
- Ankle-Foot/Knee-Ankle-Foot Orthoses of any type worn to facilitate participation in sports.
For Medicare Advantage members, the face-to-face requirement language will change, and criteria will be added to this policy as Not Medically Necessary:
- Replacement components (e.g., soft interfaces) that are provided on a routine basis, without regard to whether the original item is worn out.
For more information, view the following notifications that were published on March 14, 2023: