Proposed Rule on BIPA Section 427:
Medicare Program; Establishment of Special Payment Provisions and Requirements for Qualified Practitioners and Qualified Suppliers of Prosthetics and Custom-Fabricated Orthotics
At long last the proposed rule on BIPA Section 427 has been released. The Academy Public Policy Committee and O&P Alliance representatives are hard at work reviewing the proposed rule
and preparing comments to be submitted within the 60 day window. We will keep you informed on all developments and action taken on the proposed rule.
BIPA 427 Summary
This proposed rule from the Centers for Medicare & Medicaid Services (CMS)/Department of Health and Human Services (HHS) would specify the following:
- Qualifications needed for qualified practitioners to furnish and fabricate, and qualified suppliers to fabricate prosthetics and custom-fabricated orthotics;
- Accreditation requirements that qualified suppliers must meet in order to bill for prosthetics and custom-fabricated orthotics;
- Requirements that an organization must meet in order to accredit qualified suppliers to bill for prosthetics and custom-fabricated orthotics; and
- A timeframe by which qualified practitioners and qualified suppliers must meet the applicable licensure, certification, and accreditation requirements.
- This rule would remove the current exemption from accreditation and quality standards for certain practitioners and suppliers.
Your Academy is hard at work advocating for our profession.