c. As part of the discharge planning and home management program, physical therapy must also include of a consult with a Durable Medical Equipment Disease Management lymphatic and vascular specialist who specializes in providing durable medical equipment specific in treating lymphatic and vascular diseases together with the treating MLD/CDP therapist, two weeks after therapy has begun, and consult shall document the review of patient needs, and available home management tools and/or equipment, their contraindications, their function, and allow each patient consider recommendations made by the licensed therapist, and make an educated decision as to which modality of external compression would ensure treatment success.
Durable Medical Equipment Providers
a. who do not specialize in providing treatment for lymphatic and vascular disease may not participate in providing intermittent, sequential, or calibrated gradient sequential compression pumps or devices, external compression devices, directional flow devices, or supplies or items needed for treatment of vascular and lymphatic diseases other than compression bandaging or compression stockings, as well as any new treatments or technologies, supplies or equipment that have obtained FDA approval.
b. Any new treatments or technologies, supplies, or equipment that have obtained FDA approval specifically for treatment of lymphedema, chronic venous insufficiency, and peripheral vascular disease, or otherwise may not be marketed or used for treatment of such.
c. DME companies shall provide patients with an initial evaluation by a Certified Compression Therapist, in order to assess their needs, lifestyle, and all factors and considerations, and provide the ordering physician with a written evaluation assessment. Once the ordering physician outlines a treatment plan, the Certified Compression Therapist shall provide, upon insurance approval, items ordered by the physician. DME companies shall have policies and procedures in place, and implement such, as to set-up procedures including pre-treatment and post-treatment measurements, patient education, follow-up procedures, and long-term servicing. The DME company's Certified Compression Therapist must also provide the ordering phyusician with a written report of the set-up of equipment, including measurements and reduction accomplished, as w4ell as a written report of the follow-up visit, also including measurements. DME companies may not engage in providing any equipment and/or supplies specific to treatment of lymphatic and vascular disease via shipment through the United States Postal Service, or other such shipping methods, unlessthe item is a replacement item, or compression bandaging. All equipment and/or supplies must be provided inthe home or rehab or hospital facility of the patient, unless such equipment is shipped, and not opened by the patient, until a Certified Compression therapist is able to apply a set-up for the patient. Equipment and/or supplies may be provided for a patient's use in a hospital, rehab, or physical therapy clinic.
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