Message Thought this might be of interest ----- Original Message ----- From: Becky Barnes To: 'beckyb@xxxxxxxxxx' Sent: Monday, December 01, 2003 2:52 PM Subject: FW: MEDICARE NEWS! -----Original Message----- From: Orientation and Mobility [mailto:OANDM@xxxxxxxxxxxx] On Behalf Of Lorraine Lidoff Sent: Monday, December 01, 2003 1:44 PM To: OANDM@xxxxxxxxxxxx Subject: MEDICARE NEWS! Importance: High We are pleased to announce a two-pronged victory for our vision rehabilitation services provisions: The Medicare bill just passed by Congress legislates a one-year study to produce recommendations for legislative or administrative action "providing for payment for vision rehabilitation services furnished by vision rehabilitation professionals" by January 1, 2005. The study will also specifically address the obstacle which blocked coverage at this time: the lack of state licensure for vision rehabilitation professionals. At the same time, two important provisions in the still-pending Senate Omnibus Appropriations bill complement this achievement: 1) The Omnibus bill conference report establishes a 5-year demonstration project, commencing July 1, 2004, to provide national coverage for vision rehabilitation services, which includes services provided by vision rehabilitation professionals, and 2) It requires the federal Center for Medicare and Medicaid Services (CMS) to develop policy recommendations by January 2005 that will allow vision rehabilitation professionals to provide services in patients' homes and environs. What does this mean for coverage of vision rehabilitation services and the work performed by vision rehabilitation professionals? * CMS is directed to spend $2 million in the coming year to get national coverage of vision rehabilitation services, including those provided in the home by vision rehabilitation professionals under general supervision, "up and running." * Meanwhile, CMS will be examining problems and issues that have proven to be stumbling blocks for our profession to date, namely: the small number of vision rehabilitation professionals practicing nationwide, which has precluded national licensure. * The National Vision Rehabilitation Cooperative and other interested organizations are specifically named as entities with which CMS must consult while the study is being conducted; * Once the study is completed, we will continue with the 5-year demonstration project while also seeking Congressional approval to adopt final statutory language to establish these services on a permanent basis after the demonstration. We have crested a milestone hurdle for our field in several ways. For the first time in history, vision rehabilitation professionals, defined as orientation and mobility specialists, rehabilitation teachers and low vision therapists, are explicitly named in the Medicare statute. In addition, when taken together, the study and the demonstration project establish vision rehabilitation services provided by vision rehabilitation professionals as valuable for Medicare beneficiaries and provide us with an outstanding opportunity to gain our full goal of permanent Medicare coverage for these services. The entire field of vision rehabilitation needs to strategize and take action now to meet the challenges involved in assuring successful outcomes for these groundbreaking initiatives. Lorraine Lidoff National Vision Rehabilitation Cooperative