Medicare: Medicare News and Updates Medicare Coverage for Patients With Dementia Article
Article  |   June 01, 2002
Medicare: Medicare News and Updates
Author Notes
  • Ellayne GanzfriedColumn Editor
Article Information
Special Populations / Older Adults & Aging / Practice Management / Professional Issues & Training / Medicare
Article   |   June 01, 2002
Medicare: Medicare News and Updates
SIG 11 Perspectives on Administration and Supervision, June 2002, Vol. 12, 13. doi:10.1044/aas12.2.13
SIG 11 Perspectives on Administration and Supervision, June 2002, Vol. 12, 13. doi:10.1044/aas12.2.13
The Centers for Medicare & Medicaid Services (CMS) provided clarification to Medicare contractors regarding payment for therapies for patients with Alzheimer’s disease. On September 1, 2001, Medicare contractors were informed that they could no longer automatically deny claims based solely on the diagnosis of Alzheimer’s disease. This does not guarantee that all claims for patients with Alzheimer’s disease will be paid. Instead, Medicare contractors are instructed to review these claims based on the potential beneficiary’s overall medical condition. This means that Medicare may pay for speech, occupational, and rehabilitation therapies for people with Alzheimer’s disease, including mental health services. Depending on a beneficiary’s medical condition, CMS believes that certain specific therapies can be helpful in slowing decline due to Alzheimer’s disease. This technical clarification reinforces CMS commitment to ensure that people with Medicare receive the benefits they are entitled to under the program. The complete memorandum is available at http://www.hcfa.gov/pubforms/transmit/AB01135.pdf.
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