On July 2, 2014 the Centers for Medicare and Medicaid Services (CMS) released a proposed rule for public comment related to the coverage and payment of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS). Specifically, the rule updates the definition of minimal self-adjustment of orthotics by defining those health professionals that have “specialized training” needed to provide custom fitting services if providers are not certified orthotics.
This rule, if it were to go into effect, would exclude athletic trainers from the ability to perform services that are obviously part of their education, training, and clinical experience. As health care professionals who collaborate with physicians to provide preventative services, emergency care, clinical diagnosis, therapeutic intervention and rehabilitation of injuries, these services are a core element of the role of athletic trainers.
We believe that athletic trainers meet these same requirements and should not be excluded from performing services that are directly related to their clinical expertise, education, training, and experience.