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Medicare/Medicaid Funding Information

Obtaining Funding From Medicare or Medicaid

To help you track down other useful devices, services, and help obtaining funding for SmartNav devices, we've gathered the following information. If you have any trouble with this process, please let us know by email.



Disclaimer

NaturalPoint Inc. simply wishes to provide information on the process of reimbursement to its customers, who may choose whether or not to act upon it. Each case is reviewed by the appropriate government agency individually, and there is no precedent set by previous decisions to reimburse or deny. By providing this information, NaturalPoint Inc. in no way claims nor means to imply that its products will be judged as reimbursable. NATURALPOINT INC. DOES NOT GUARANTEE THAT FOLLOWING THE PROCEDURE BELOW WILL LEAD TO REIMBURSEMENT.

Procedure

Currently Medicare and Medicaid do not automatically reimburse users for assistive technology computer input devices. Because there is not currently a national coverage decision by the Health Care Financing Administration (HCFA) classifying assistive technology devices as Medicare reimbursable Durable Medical Equipment, purchasers of the SmartNav will need to apply for reimbursement to their individual Durable Medical Equipment Regional Carriers (DMERC) (see below for a complete list).

Application

To apply, an applicant will need to send in ALL of the following:
  • A 1490S claim form (available at www.cms.hhs.gov/providers/edi/edi5.asp?)
  • A letter stating the medical need for the item
  • A receipt showing proof of purchase
  • A doctor's prescription for the SmartNav
  • A certificate of necessity, which needs to be signed by a doctor and the person applying for the reimbursement
The certificate of necessity must be requested by the individual seeking Medicare reimbursement. It can be obtained by calling the DMERC that provides coverage for your state (see below for a complete list). Once the application is completed, the individual DMERC will review the documents to determine if reimbursement will be granted.

Durable Medical Equipment Regional Carriers
    Region A: HealthNow NY, Inc. (570) 735-9445 Connecticut, Delaware, Maine, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island and Vermont.

    Region B: AdminaStar Federal (800) 270-2313 Indiana, Illinois, Maryland, Michigan, Minnesota, Ohio, Wisconsin, West Virginia, Virginia and the District of Columbia.

    Region C: Palmetto Government Benefits Administrators (800) 583-2236 Alabama, Arkansas, Colorado, Florida, Georgia, Kentucky, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, Puerto Rico, South Carolina, Tennessee, Texas and the Virgin Islands.

    Region D: Cigna HealthCare Medicare Administration (800) 899-7095 Alaska, American Samoa, Arizona, California, Guam, Hawaii, Idaho, Iowa, Kansas, Mariana Island, Missouri, Montana, Nebraska, Nevada, North Dakota, Oregon, South Dakota, Utah, Washington and Wyoming.


For a more comprehensive list please check out Assistive Technology, Inc.'s site about obtaining funding: www.assistivetech.com/s-funding.htm


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