MEDICARE THERAPEUTIC SHOE PROGRAM RULES

Robert E. Dulberg, C.Ped & O.S.T.

To Our Referring Doctors and Podiatrists:

UPDATE ON NEW MEDICARE THERAPEUTIC SHOE PROGRAM RULES

  1. The CMN 4.01, Certificate of medical necessity has been replaced by the simpler: Statement of Certifying Physician. (enclosed)
  2. Podiatrists can order shoes and modifications, but only the primary physician and or endocrinologisrt cab sign the certifying statemeny letter.
  3. A custom molded shoe is covered **ONLY** when the patient has a foot deformity which cannot be accommodated by a depth shoe. THE NATURE AND SEVERITY OF THE DEFORMITY MUST BE WELL DOCUMENTED BY THE PHYSICIAN AND PODIATRIST, AND MUST BE KEPT IN THE SUPPLIER'S RECORDS.
  4. It is unclear whether other problems and special work, such as build-ups for short limbs, will be covered.

We appreciate your referrals and will do our best to keep your paper work requirments to a minimum.

Sincerely, Robert E. Dulberg, C.Ped & O.S.T. and the Staff at: A Custom Comfort Shoes