H.R.4378 - Ensuring Access to Quality Complex Rehabilitation Technology Act of 2012112th Congress (2011-2012)
Summary: H.R.4378 — 112th Congress (2011-2012)
Introduced in House (04/18/2012)
Ensuring Access to Quality Complex Rehabilitation Technology Act of 2012 - Amends title XVIII (Medicare) of the Social Security Act to cover, as medical and other health services, complex rehabilitation technology items designed and configured for a specific qualified individual to meet that individual's unique: (1) medical, physical, and functional needs related to a medical condition; and (2) capacities for basic activities of daily living (ADLs) and instrumental ADLs.
Directs the Secretary of Health and Human Services (HHS) to: (1) designate complex rehabilitation technology items (excluding adaptive equipment to operate motor vehicles or certain prosthetic devices and orthotics); and (2) establish eligibility criteria for them.
Prescribes requirements for payments for CRT items.
Directs the Secretary to establish standards for clinical conditions for CRT item payment as well as quality standards for suppliers of such items.
Directs the Secretary to establish a Healthcare Procedure Coding System (HCPCS) coding subset that uses specified HCPCS codes for CRT items.
Requires payment for replacement of a CRT item (or any part of one), without regard to certain continuous use or useful lifetime restrictions established for items of durable medical equipment (DME), if a qualified ordering practitioner determines that a replacement item (or part) is necessary.