CMS to update definitions for shoe inserts

Tuesday, November 7, 2017

WASHINGTON – CMS has proposed revising the definitions of custom fabricated and therapeutic inserts in Appendix C of the DMEPOS Quality Standards to account for new technology. Historically, the best way to fit an individual with diabetes for inserts was to create a physical model of their foot using negative impression. CMS now acknowledges, however, that advancements in computer-aided design/computer-aided manufacturing technology eliminate the need to create an actual model of the patient’s foot. Instead, CAD/CAM technology now allows the direct milling of an insert without molding or negative impression. CMS has scheduled a Special Open Door Forum on Nov. 28 at 2 p.m. EST to discuss the changes. Stakeholders may email comments on the changes to through Dec. 11. CMS plans to finalize the revisions prior to Jan. 1, 2018. The American Orthotics and Prosthetics Association was among the groups pressuring CMS to make the changes.