The team embodies collaboration and dedication across medical specialties to offer optimal patient-centered care. Beneficiaries receiving VADs for DT must be managed by an explicitly identified cohesive, multidisciplinary team of medical professionals with the appropriate qualifications, training, and experience.As of the effective date, new facilities must meet the following criteria as a condition of coverage of this procedure as DT under section 1862(a)(1)(A):
At the conclusion of this transition period, these facilities must be in compliance with the following criteria as determined by a credentialing organization. Facilities currently credentialed by the Joint Commission for placement of VADs as DT may continue as Medicare-approved facilities until October 30, 2014. The evidence is sufficient to conclude that VADs implanted in facilities that meet certain criteria improve health outcomes for Medicare beneficiaries.We will also remove the word “permanent” from the DT description as this is not part of the patient selection criteria and may lead to confusion. The evidence is insufficient to support changes to our current patient selection criteria for coverage of a VAD as DT however, we are modifying the language in new section 20.9.1 to clarify that the identification of patients who are not candidates for heart transplantation is based on information available at the time of VAD implant.Ideally, the Medicare-approved heart transplant centers should determine patient-specific timetables for transplantation, and should not maintain such patients on VADs if suitable hearts become available.” Remove the existing requirement that a “Medicare-approved heart transplant center should make every reasonable effort to transplant patients on such devices as soon as medically reasonable.For the existing requirement that a patient is approved and listed as a candidate for heart transplant by a Medicare-approved heart transplant center, we clearly identify that the patient must be active on the waitlist maintained by the Organ Procurement and Transplantation Network (OPTN).Ventricular assist devices (VADs) for bridge to transplant (BTT).The Centers for Medicare & Medicaid Services (CMS) makes the following changes to the current national coverage determination (NCD).
0 kommentar(er)
