There is still time to have influence on what DTx will be covered by insurance.
For the first time, CMS’s proposed physician fee schedule, a comprehensive annual listing of the fees that Medicare uses to pay doctors, now includes digital therapeutics.
The proposal does not cover all digital therapeutics under multiple benefit categories, as the Digital Therapeutics Alliance (DTA) had asked nearly a year ago. Rather, the proposal includes three codes for FDA-cleared “digital mental health treatment devices.†The proposal is open to comment through Sept. 9; the final rule will be issued by the end of the year.
Time to jump in and help set the rules for how reimbursement will reach the makers of Immersive Medicine.
Here is a link for the CMS comment process: https://www.cms.gov/medicare/coverage/determination-process/public-comments
