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Protect My Mobility

Being an advocate for Complex Rehab Technology (CRT) can be as simple as sending an email to your Legislators making them aware of the challenges to appropriate access for people with disabilities and asking them for their support.  The more voices delivering our CRT message the better!

Without your help, Congress will not fully understand how CRT maximizes independence and protects the health of the individuals who depend on it. Review the current CRT issues below and use the links provided to contact your Members of Congress today to protect access!

Issue 1: Congressional Sign-On Letter to CMS for Seat Elevation and Standing Systems
NCART has been working with the ITEM Coalition to secure Medicare coverage for Seat Elevation and Standing Systems used with Complex Rehab Technology (CRT) power wheelchairs.  A formal request was submitted to CMS in September 2020 to establish Medicare coverage and this request was officially “deemed complete” in November 2020. Unfortunately, the CMS review of the coverage request has not formally progressed since that time and it needs to be moved forward.

To encourage CMS to move ahead, a Congressional sign-on letter was circulated in the House of Representative by Reps. Jim Langevin (D-RI) and Don Young (R-AK). You can read the letter here and view the final list of signers here.  A Senate sign-on letter to CMS is also expected shortly and we'll provide those details as soon as they are available.   

Issue 2: Ask Congress to Preserve CRT Telehealth Option
Medicare beneficiaries with disabilities are currently able to access critical, medically necessary care via telehealth due to COVID-19 pandemic flexibilities put in place by Congress and CMS.  The people benefiting from these services include those with diagnoses such as ALS, multiple sclerosis, spinal cord injury, cerebral palsy, muscular dystrophy, and traumatic brain injury.  Unfortunately, when the Public Health Emergency (PHE) ends, the ability for Medicare beneficiaries to access needed Complex Rehab Technology (CRT) via telehealth will also end unless Congress acts. 

This option that allows CRT telehealth services to be provided by Occupational and Physical Therapists must be made permanent for Medicare beneficiaries living with disabilities so they can continue to have remote access to CRT evaluations, fittings, and training when an in-person visit is not possible due to medical risks and other factors described in a position paper that you can read here. Rather than allowing these proven flexibilities to expire and cause harm to these individuals, Congress must take legislative action to make these CRT telehealth policies permanent so they extend beyond the expiration of the PHE.