Please Note: There is no Medicare information on our corporate website. Please select a specific contract in the 'Search Within' box for Medicare related information.
© 2020 Palmetto GBA, LLC
We frequently update our articles to reflect the latest changes and updates to Medicare, and strongly recommend you visit this article at link below to confirm you have the latest version.
Printed Date: 9/22/2015
Please Note: Requirements for diabetic footwear, inserts, or custom inserts will vary based on state laws and medical necessity. The NSC will not accept training in lieu of any state licensure requirements.
Section 1861 (s) (12) (C) of the Social Security Act states, 'the shoes are fitted and furnished by a podiatrist or other qualified individual (such as a pedorthist or orthotist, as established by the secretary).'
CMS has defined other qualified individuals in October 2008 of the DMEPOS quality standards under Appendix C. Individuals supplying the item(s) set out in this appendix must possess specialized education, training, and experience in fitting, and certification and/or licensing. This training must be within the scope of practice of complexity and thus not used in lieu of being furnished by a pedorthist, orthotist or prosthetist, as applicable.
Supplier Standard 1 states, 'A supplier must be in compliance with all applicable federal and state licensure and regulatory requirements.' Therefore, if a state requires a license to provide diabetic footwear, then the supplier will have to be properly licensed in order to provide this service to Medicare beneficiaries.
We value your opinion and want to provide the highest-quality and most relevant Medicare knowledge possible. Please let us know if this article was helpful.
It didn't answer my question
This article was helpful
We’re glad we could help you today and appreciate your feedback. When you rate our articles as most helpful, we know that we are on the right track for providing you with important news and information.
We're sorry this article didn't help you today. We'll use your feedback to review this article to try to revise or expand it. Contact us with more feedback or a question on this topic.
Last Updated: 03/16/2020