COVID-19 (Coronavirus): Certain DME requirements waived through June 30, 2020

May 15, 2020

Independence is committed to providing our members with access to the care they need. As COVID-19 has escalated into a pandemic, we are working to make sure that our members can receive appropriate testing and treatment for the virus causing COVID-19 if needed.

We encourage all Independence members to visit our dedicated COVID-19 webpage regularly for the latest news and updates. We will continue to evaluate member needs as the situation changes.

Certain requirements waived

From March 6, 2020, through June 30, 2020, Independence will temporarily waive certain requirements for Durable Medical Equipment (DME), as well as prosthetics, orthotics, and supplies.

Independence is waiving signature and proof of delivery requirements for DME when a signature cannot be obtained because of the inability to collect signatures. Suppliers should document in the medical record the appropriate date of delivery and that a signature was not able to be obtained because of COVID-19.

Certain DME, as well as prosthetics, orthotics, and supplies, replacement requirements (i.e., face-to-face requirement, a new professional provider order, and a new medical necessity documentation) may be waived when an item is lost, destroyed, irreparably damaged, or otherwise rendered unusable. Suppliers must still include a narrative description on the claim explaining the reason why the equipment must be replaced and are reminded to maintain documentation indicating that the DME, prosthetics, orthotics, and supplies were lost, destroyed, irreparably damaged, or otherwise rendered unusable or unavailable as a result of the emergency.

Policies

For a complete list of the policies affected by this change, please review the News Article, Waiver of certain requirements during COVID-19 outbreak related to Durable Medical Equipment (DME), prosthetics, orthotics, and supplies, which can be found in the Commercial and Medicare Advantage News & Announcements sections of the Medical Policy Portal.

Learn more

For more information about Independence’s position on COVID-19, please review the following resources: