Navigating Medicare/Medicaid Rules for Sleep

There has been quite a problem understanding and interpreting the Centers for Medicaid & Medicare Services (CMS) guidelines when it comes to Sleep Testing and the payment of Treatment for Obstructive Sleep Apnea (OSA). This page will hopefully clarify the entire process from the initial doctor’s visit about the suspected sleep issues to receiving and maintaining the treatment.

We encourage patients to become involved in this process. Should something not be correct or done in the incorrect order, CMS states that the entire process has to be repeated. We have created checklists that can be printed out and brought to your provider for use. If you are within five years of receiving Medicare benefits, please use these checklists as they will provide a smooth transition to Medicare from your private insurance.


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