№ files_lp_3_process_7_077718
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Administrative order establishing updated maximum reasonable fees for durable medical equipment, prosthetics, orthotics, and supplies within the California workers’ compensation system based on the 2025 Medicare DMEPOS fee schedule.
Year:
2024
Effective Date:
January 1, 2025
Jurisdiction:
California, United States
Issuing Authority:
California Department of Industrial Relations, Division of Workers’ Compensation
Office:
Administrative Director of the Division of Workers’ Compensation
Authorizing Official:
George P. Parisotto
Legal Basis:
Labor Code section 5307.1, subdivision (g)(2)
Regulatory Reference:
Title 8, California Code of Regulations, section 9789.60
Subject:
Adjustment of the Official Medical Fee Schedule for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS)
Related Federal Authority:
Centers for Medicare & Medicaid Services (CMS)
Referenced Federal Document:
CMS Manual System, Pub 100-04 Medicare Claims Processing, Transmittal 12991, Change Request 13888, December 13, 2024
Incorporated Materials:
Medicare Calendar Year 2025 DMEPOS Fee Schedule, DME25-A (ZIP) electronic file
Scope of Application:
Services rendered on or after January 1, 2025
Geographic Application:
California Non-Rural (CA (NR)) and California Rural (CA (R)) fee designations
Publication Location:
Division of Workers’ Compensation DMEPOS webpage
Price: 8 / 10 USD
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Year:
2023
Region / City:
California
Subject:
Medical fee schedule update
Document Type:
Official Order
Author:
George P. Parisotto
Period of Effect:
From July 1, 2023
Approval Date:
June 26, 2023
Date of Changes:
July 2023
Contextual Description:
Official order updating medical fee schedule for durable medical equipment and services in California, reflecting Medicare’s July 2023 changes.
Date of publication:
27 February 2025
Event dates:
16–19 June 2025
City:
Leipzig
Country:
Germany
Event title:
International Society for Prosthetics and Orthotics 20th World Congress
Organising body:
International Society for Prosthetics and Orthotics
Local organiser:
Leipziger Messe GmbH
Venue:
Leipziger Messe
Theme:
Science in Practice, Practice in Science: Collaboration and innovation towards sustainable rehabilitation
Fields:
Prosthetics, Orthotics, Mobility, Assistive Technology, Rehabilitation
Number of participants:
over 4,000 professionals
Number of presenters:
more than 600
Number of sessions:
more than 150
Exhibitors:
over 150 from more than 30 countries
Programme features:
3-Minute-Thesis (3MT) student competition; Technical track; ISPO World Assembly; Knud Jansen Lecture; IC2A Inspirational Lecture
Industry exhibition:
mobility products, services, start-up area, German Pavilion, exhibitor workshops
Registration deadline for early bird rates:
17 March 2025
Press contact:
Anja Hummel, Leipziger Messe GmbH
Year:
2025
Region / City:
California
Topic:
Durable Medical Equipment, Prosthetics, Orthotics, Supplies
Document Type:
Order
Authority/Institution:
State of California Department of Industrial Relations, Division of Workers’ Compensation
Author:
George P. Parisotto
Target Audience:
Healthcare providers, medical suppliers
Period of Effect:
From July 1, 2025
Date of Approval:
June 23, 2025
Date of Changes:
June 20, 2025
Year:
2024
Region / City:
N/A
Subject:
Medical / Dental Procedure
Document Type:
Consent Form
Institution:
MedPro Group
Author:
N/A
Target Audience:
Patients undergoing dental implant procedures
Period of Validity:
N/A
Date of Approval:
N/A
Date of Revision:
N/A
Year:
2025
Region / City:
California
Subject:
Medical Fee Schedule, Durable Medical Equipment, Prosthetics, Orthotics
Document Type:
Official Order
Organization:
Department of Industrial Relations, Division of Workers’ Compensation
Author:
George P. Parisotto
Target Audience:
Health care providers, insurance companies, workers’ compensation professionals
Effective Period:
April 1, 2025
Date of Approval:
April 4, 2025
Year:
2022
Region / City:
California
Subject:
Medical fee schedule update
Document type:
Official order
Author:
George P. Parisotto
Effective period:
From April 1, 2022
Approval date:
March 21, 2022
Amendment date:
N/A
Context:
This official order updates the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies fee schedule based on changes to the Medicare payment system for 2022.
Year:
2005
Region / City:
United States
Theme:
Prosthetics Inventory Management
Document Type:
User Manual
Organization / Institution:
Department of Veterans Affairs
Author:
Department of Veterans Affairs
Target Audience:
Prosthetic purchasing personnel, Veterans Affairs staff
Period of Validity:
Not specified
Approval Date:
March 2005
Revision Date:
Not specified
Version:
3.0
Date:
December 1995
Department:
Department of Veterans Affairs
System:
VISTA System Design and Development
Program:
Decentralized Hospital Computer Program (DHCP)
Package:
Prosthetics
Type of document:
Installation guide
Subject:
Installation and configuration of the DHCP Prosthetics package
Audience:
Information Resources Management Services and Information Systems Center personnel
Related systems:
IFCAP, Generic Inventory, CPRS
Associated forms:
VA Form 10-2319, VA Form 4-1358, VA Form 10-2421, VA Form 10-2520, VA Form 10-2527, VA Form 10-2529-3, VA Form 10-1210
Security keys:
RMPRSUPERVISOR, PRCHZ REV
File reference:
File 663
Modules described:
Purchasing Module, Electronic Record of Prosthetic Services Module, Inventory Module, Correspondence Module, Scheduled Meetings and Home/Liaison Visits Module, NPPD Module, Prosthetic Lab Module, Entitlement Module, Suspense Module, Administrative Home Oxygen Module
Year:
2003
Revision date:
August 2017
Version:
3.0
Document type:
User Manual
Subject:
Prosthetics Electronic Order and Suspense Processing
Organization:
Department of Veterans Affairs
Office:
Office of Information and Technology
Product area:
Prosthetics Software
Patch references:
RMPR3.0182; RMPR3.0168; RMPR3167; RMPR3150; RMPR380
System referenced:
Computerized Patient Record System (CPRS)
Applies to:
Prosthetics employees and Purchasing Agents
Status categories:
Open; Pending; Closed; Cancelled
Report types:
Open, Pending, Closed, Five-Day Delayed Order, Compliance
Consult types:
Eyeglass Prescription; Home Oxygen Prescription; Contact Lens Prescription; Routine Prosthetic Prescription
Year:
2026
Region / City:
Kinston, NC, USA
Subject:
Health Information Privacy
Document Type:
Notice / Policy
Organization:
EastPoint Prosthetics & Orthotics
Author:
EastPoint Prosthetics & Orthotics
Intended Audience:
Patients and clients
Legal Basis:
Health Insurance Portability and Accountability Act (HIPAA)
Effective Period:
From 2026, ongoing until updated
Contact Information:
Privacy Officer, 310 Airport Rd., Kinston, NC 28504, 252-522-3278
Year:
2023
Region / City:
California
Subject:
Medical fee schedule update
Document Type:
Official Order
Author:
George P. Parisotto
Period of Effect:
From July 1, 2023
Approval Date:
June 26, 2023
Date of Changes:
July 2023
Contextual Description:
Official order updating medical fee schedule for durable medical equipment and services in California, reflecting Medicare’s July 2023 changes.
Year:
2023
Region / City:
Massachusetts
Topic:
Orthotics Services
Document Type:
Provider Manual
Agency:
MassHealth
Author:
Commonwealth of Massachusetts
Target Audience:
Providers of orthotic services under MassHealth
Period of Validity:
Not specified
Approval Date:
04/28/23
Amendment Date:
Not specified
Year:
2019
Region / City:
Massachusetts
Topic:
Orthotics program updates
Document Type:
Provider Bulletin
Issuing Organization:
Executive Office of Health and Human Services, Office of Medicaid
Author:
Daniel Tsai, Assistant Secretary for MassHealth
Target Audience:
Orthotics Providers Participating in MassHealth
Period of Validity:
July 12, 2019 - ongoing
Approval Date:
December 2019
Date of Changes:
July 12, 2019
Date of publication:
27 February 2025
Event dates:
16–19 June 2025
City:
Leipzig
Country:
Germany
Event title:
International Society for Prosthetics and Orthotics 20th World Congress
Organising body:
International Society for Prosthetics and Orthotics
Local organiser:
Leipziger Messe GmbH
Venue:
Leipziger Messe
Theme:
Science in Practice, Practice in Science: Collaboration and innovation towards sustainable rehabilitation
Fields:
Prosthetics, Orthotics, Mobility, Assistive Technology, Rehabilitation
Number of participants:
over 4,000 professionals
Number of presenters:
more than 600
Number of sessions:
more than 150
Exhibitors:
over 150 from more than 30 countries
Programme features:
3-Minute-Thesis (3MT) student competition; Technical track; ISPO World Assembly; Knud Jansen Lecture; IC2A Inspirational Lecture
Industry exhibition:
mobility products, services, start-up area, German Pavilion, exhibitor workshops
Registration deadline for early bird rates:
17 March 2025
Press contact:
Anja Hummel, Leipziger Messe GmbH
Year:
2025
Region / City:
California
Topic:
Durable Medical Equipment, Prosthetics, Orthotics, Supplies
Document Type:
Order
Authority/Institution:
State of California Department of Industrial Relations, Division of Workers’ Compensation
Author:
George P. Parisotto
Target Audience:
Healthcare providers, medical suppliers
Period of Effect:
From July 1, 2025
Date of Approval:
June 23, 2025
Date of Changes:
June 20, 2025
Document Type:
Sample letter
Subject:
Medical necessity for custom functional orthotics
Purpose:
Clinical justification for orthotic prescription
Intended Recipient:
Insurance company
Patient Name:
Jane Doe
Insurance ID:
12345
Clinical Procedures Mentioned:
Diagnostic X-rays; physical examination; outcome assessment questionnaires; casting or optical scanning
Assessment Tool Referenced:
Revised Oswestry Low Back Disability Questionnaire
Treatment Plan:
Combination of chiropractic treatment and passive and active therapy
Medical Focus:
Foot conditions requiring orthotics; functional limitations in standing and walking
Author:
Treating clinician
Year:
2025
Region / City:
California
Subject:
Medical Fee Schedule, Durable Medical Equipment, Prosthetics, Orthotics
Document Type:
Official Order
Organization:
Department of Industrial Relations, Division of Workers’ Compensation
Author:
George P. Parisotto
Target Audience:
Health care providers, insurance companies, workers’ compensation professionals
Effective Period:
April 1, 2025
Date of Approval:
April 4, 2025
Year:
2022
Region / City:
California
Subject:
Medical fee schedule update
Document type:
Official order
Author:
George P. Parisotto
Effective period:
From April 1, 2022
Approval date:
March 21, 2022
Amendment date:
N/A
Context:
This official order updates the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies fee schedule based on changes to the Medicare payment system for 2022.
Note:
Year
Document Type:
Referral Form
Organization / Institution:
Derbyshire Orthotics
Target Audience:
Healthcare professionals, patients
Device Types:
Footwear, Insoles, Knee Brace, Lower Limb AFO/DAFO/KAFO, Upper Limb
Orthotic Objectives:
Pain Management, Improve Mobility, Control Joint Movement, Improve Balance, Immobilize Joint, Improve Gait Efficiency, Protect/Offload Joint, Improve Postural Support, Improve/Maintain ROM, Prevent Ulceration, Accommodate Fixed Deformity
Year:
2026
Region / City:
Kinston, NC, USA
Subject:
Health Information Privacy
Document Type:
Notice / Policy
Organization:
EastPoint Prosthetics & Orthotics
Author:
EastPoint Prosthetics & Orthotics
Intended Audience:
Patients and clients
Legal Basis:
Health Insurance Portability and Accountability Act (HIPAA)
Effective Period:
From 2026, ongoing until updated
Contact Information:
Privacy Officer, 310 Airport Rd., Kinston, NC 28504, 252-522-3278