By using this site, you are consenting to our use of cookies. To find out more visit our privacy policy.
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
May 1, 2020 / Website
Find the current status of Medicare coverage. Provider users can search separate databases related to both NCDs and LCDs.
Oct 24, 2018 / Article
Understanding what they are, how they impact your practice and how to access the National Coverage Database to find a particular LCD.
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
Nov 18, 2025 / Article
Nov 17, 2025 / News
Aug 15, 2025 / Article
Jul 22, 2025 / News
Following discussions with major health insurers on their commitments, including a pledge to reduce the number of services requiring prior authorization, the Centers for Medicare & Medicaid Services announced its Wasteful and Inappropriate Service Reduction, or WISeR, model. This model aims to selectively implement prior authorization within traditional Medicare.
Jul 10, 2025 / News
If enacted, PTs across the country would be allowed to secure substitute care for patients during an absence.
Dec 23, 2024 / News
The deal includes a three-month Medicare extension on telehealth.
Oct 29, 2024 / News
In anticipation of the 2025 fee schedule final rule, a new bipartisan bill would change an expected 2.8% cut to a 1.9% increase.
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.
Mar 1, 2024 / News
APTA and researchers across the country oppose the new policy, which could have a chilling effect on needed research.
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.