Final Lower Limb Prothesis Policy Released

Earlier this year, AOPA communicated the exciting news that the DME MACs had published a proposed revision to the Medicare Lower Limb Prosthesis Policy that would expand coverage for pneumatic/hydraulic...

New OIG Report on Off-the-shelf Orthoses

Yesterday, the Centers for Medicare and Medicaid Services' (CMS) Office of Inspector General (OIG) released a report entitled “Medicare Remains Vulnerable to Fraud, Waste, and Abuse Related to Off-the-Shelf Orthotic...

Statement of the American Orthotic and Prosthetic Association on Combating Fraud, Waste, and Abuse in the Medicare Program

Health Subcommittee of the House Ways and Means Committee — Submitted Testimonies on Current Hospital Issues in the Medicare Program Read statement

CMS Expands its Prior Authorization Program and Adds New O&P Codes Subject to Face-to-Face Encounters and Written Orders Prior to Delivery

On May 13, 2024, the Centers for Medicare and Medicaid Services (CMS) announced that the following six O&P HCPCS codes will require Medicare Prior Authorization nationwide for claims with a...

Medicare Orthotics and Prosthetics Patient-Centered Care Act Introduced in the Senate

Contact: Joy Burwell jburwell@AOPAnet.org FOR IMMEDIATE RELEASE Medicare Orthotics and Prosthetics Patient-Centered Care Act Introduced in the Senate Washington, DC (March 19, 2024) – Today, Senators Mark Warner (D-VA) and...

DME MACs/PDAC Releases Positive 3D Printing Guidance

On February 1, 2024 the Durable Medicare Equipment Medicare Administrative Contractors (DME MACs) and the Pricing Data Analysis & Coding (PDAC) contractor released long awaited guidance from the Centers for...

Matt Swiggum Appointed to AOPA Board

We are pleased to announce that Matt Swiggum has been appointed to the Supplier Director seat on the AOPA Board of Directors, effective immediately. His term will extend through November...

Major Announcement from CMS and DME MACs: Proposed LCD Changes for the Lower Limb Prostheses Policy

Today, January 18, 2024, the Centers for Medicare & Medicaid Services (CMS) and the Durable Medical Equipment Medicare Administrative Contractors (DME MACs) released information for proposed changes to the Local...

AOPA Announces 2024 Board of Directors

Alexandria, VA (December 11, 2023) – Today, the American Orthotic and Prosthetic Association (AOPA) is pleased to announce its 2024 Board of Directors. The Executive Committee will consist of Mitchell...

CMS Publishes Final Rule that Defines Powered Orthoses and Exoskeletons as “Braces”

On November 1, 2023, the Centers for Medicare and Medicaid Services (CMS) released its annual final rule that established 2024 payment rates for the Medicare Home Health Prospective Payment System...