Suppliers Documentation for Claims for Refills of Essential Accessories for Beneficiary-Owned Continuous Positive Airway Pressure (CPAP), Respiratory Assist Devices (RADs), and Continuous Glucose Monitors (CGMs)
The purpose of this Change Request (CR) is to clarify the documentation required to support payment of claims for refills of essential accessories for beneficiary-owned CPAPs, RADs, and CGMs. It also changes the terminology from replacement to refill for consistency between the manual and regulation at Subsection (§)42 Code of Federal Regulations (C.F.R.) 410.38(d)(4). As such, the date of this section has been amended to reflect the effective date of the regulation.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: August 14, 2025
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