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Does Medicare cover it?

Medicare covers millions of Americans receiving health care from a wide range of providers, who may each offer a variety of treatments. But not everything is covered by Medicare — and sometimes, Medicare Administrative Contractors can misinterpret coverage rules. That's why it's important to know where to go for reliable information.

For specific questions about coverage, contact

Recommended Content

CMS Medicare Coverage Database

May 1, 2020 / Website

Local Coverage Determinations

Oct 24, 2018 / Article

Skilled Maintenance Therapy Under Medicare

Dec 1, 2020

Medicare does indeed cover services to maintain or manage a beneficiary's current condition when no functional improvement is possible if the services are medically necessary and meet the skilled care requirements.

Additional Medicare Coverage Issues Content

CPT Codes for Caregiver Training Without Patient Present

Mar 27, 2024 / Resource

The 2024 Medicare Physician Fee Schedule added three CPT codes for providing caregiver education in the interest of an individual or a group of patients without the patient present.

CMS Unveils New, High-Priced Restrictions on Access to Medicare, Medicaid Data

Mar 1, 2024 / News

APTA and researchers across the country oppose the new policy, which could have a chilling effect on needed research.

Senators From Both Parties Call for Action on Fee Schedule Cuts

Feb 28, 2024 / News

Describing health care providers as "at a breaking point," 32 senators urge short- and long-term fixes as the next spending deadline looms.

2024 Fee Schedule Calculator Now Available to APTA Members

Jan 22, 2024 / News

The updated member benefit reflects where payment stands as of Jan. 19. If Congress makes changes, the tool will be updated.

CMS Rolls Out Proposals for New Lymphedema Benefit

Jul 14, 2023 / News

An APTA-backed law is prompting CMS to work out details on coverage of compression garments under Medicare. Here's where things stand.

APTA Advocacy Win: CMS Significantly Expands Power Seat Equipment Coverage

May 19, 2023 / News

The new coverage determination means more beneficiaries have access to power elevation equipment for power wheelchairs.

Medicare Advantage and Post-stroke Discharge Patterns: PTJ Author Interview

May 9, 2023 / Podcast

Determining discharge patterns in Medicare Advantage plans.

Your Voice Needed: CMS Proposes Expansion of Coverage for Power Seat Equipment

Feb 21, 2023 / News

The change, supported by APTA, would cover power seat elevation equipment for Group 3 wheelchairs under Medicare. Public comment is open.

MPPR Calculator Instructions

Jan 12, 2023 / Resource

APTA's Outpatient Therapy Medicare Physician Fee Schedule calculator helps you determine your payment for services under Medicare.

Payment and Regulatory Update: Nov. 30, 2022

Nov 30, 2022 / Members Only

Topics discussed: 2023 Medicare Fee Schedule, 2023 Home Health Rule, Commercial Payer Update.