Medicare Fistula Coverage
WOCN members have expressed a growing concern over the lack of access to supplies for patients who have nonsurgical and surgical related fistula. These groups of patients are falling into a coverage gap that exists in post-acute, post home care with access to supplies. This issue has been noted in patients both pediatric and adult and more information can be found in a White Paper prepared by the Society.
In an effort to close this coverage gap WOCN has been working with other stakeholders to engage CMS in a conversation about how to change coverage policy so patients have access to these important supplies. We are hopeful that this advocacy will result in a change in CMS coverage policy to ensure access.
UOAA has recently released a statement in support of fixing fistula coverage. In addition, WOCN is close to finalizing collaborative comments from a wide range of stakeholders to send to CMS in order to close this coverage gap.