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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 if the services are medically necessary and meet the skilled care requirements.


Additional Medicare Coverage Issues Content

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 /

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

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.

Final FY 2023 SNF Rule: An Advocacy Win Brightens the Payment Picture

Aug 29, 2022 / Review

CMS took the advice of APTA and others, and made some additional adjustments of its own. The result: a welcome 2.7% increase.

2022 Fee Schedule Calculator, Summary of Medicare Payment Changes Now Available

Jan 12, 2022 / News

Get a handle on how CMS changes to the fee schedule, coding, and other issues will affect your practice.

Payment and Regulatory Update - Dec. 1, 2021

Dec 1, 2021 / Members Only

Topics discussed: Medicare Physician Fee Schedule, Vaccine Mandates, Commercial Payer Updates

Advocacy Update

Nov 23, 2021 /

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.