Issue Update: Medicare "Same" or "Similar" Orthotic Denials

For just under a year, AOTA has been advocating on a new issue involving denials of orthotics for exceeding the Medicare Reasonable Useful Lifetime (RUL) requirement because they are the same or similar to an orthosis that has been provided to the Medicare beneficiary within the past 5 years. While the RUL has been in place for a number of years, the Durable Medical Equipment Medicare Administrative Contractors (DME MACs) only recently adopted stricter enforcement of the policy, prompting a