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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 advocacy@apta.org.


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.


Additional Medicare Coverage Issues Content

Payment and Regulatory Update - Dec. 1, 2021

Dec 1, 2021 / Members Only

Dec. 1, 2021: Topics discussed: Medicare Physician Fee Schedule, Vaccine Mandates, Commercial Payer Updates

Advocacy Update

Nov 23, 2021 / Podcast

As Congress attends to business in the last days before recess for the year, there are several important issues on the table, including a bill to address the fee schedule cuts, and legislation aimed at the PTA differential.

Uncompensated Care: An Ongoing Challenge

Sep 30, 2021 / Column

Results of a recent APTA survey provide deeper insights.

Advocacy Update: Fight the Cut

Sep 3, 2021 / Podcast

This podcast provides an advocacy update focusing on the 2022 Medicare Physician Fee Schedule proposed rules. Where we areā€”and what needs to happen next.

Proposed '22 Hospital Outpatient and ASC Rule Ups the Ante on Price Transparency

Jul 23, 2021 / Review

CMS sets up penalties for noncompliance in the rule, which also includes a 2.3% pay increase and requests for input on a range of topics.

The Win's Official: Congress Passes Suspension of Sequester Cut Through 2021

Apr 14, 2021 / News

The U.S. House of Representatives overwhelmingly approved the relief, which has been signed into law.

'Tis Always the Season: APTA's Ongoing Medicare Advocacy

Mar 24, 2021 / Roundup

When it comes to CMS, there's no such thing as "off-season." Here's how we're engaging with the agency on multiple fronts.

Bill Extending Temporary 2% Payment Increase Passes House; Senate Bill Ready

Mar 23, 2021 / News

In 2020, Congress temporarily boosted Medicare payment as part of pandemic relief. Legislators need to act now to extend the help.

Congressional Letters Regarding the Medicare Physician Fee Schedule

Mar 19, 2021 / Open Access

At the start of 2021 APTA collaborated with many other medical organizations to initiate communications with the new congress about the shortcomings of the current Medicare Physician Fee Schedule.

MPPR Calculator Instructions

Feb 5, 2021 / Resource