Establishing notice requirements for individuals receiving oxygen or oxygen related equipment, supplies, or services
Title III — Adoption of electronic templates to strengthen fraud and abuse protections and ensure program integrity
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(a) Annual notice of cost-Sharing obligations for supplemental oxygen Section 1804 of the Social Security Act (42 U.S.C. 1395b–2) is amended by adding at the end the following new subsection: (e) The notice provided under subsection (a) shall include— (1) a description of— (A) the 36-month rental period for supplemental oxygen equipment under section 1834(a)(5)(F); (B) the right of a beneficiary to discuss their prescription for supplemental oxygen equipment with their prescribing physician or practitioner; and (C) any cost sharing requirements for supplemental oxygen equipment, supplies, and services under this title and the termination of such requirements when a beneficiary refuses or discontinues supplemental oxygen therapy; and (2) information on the internal and external grievance processes of suppliers of oxygen and oxygen related equipment, supplies, and services under this title (as well as how to contact Medicare through a hotline or beneficiary ombudsman), including the right of a beneficiary to file, personally or through a representative of the beneficiary's choosing, an internal or external grievance without retaliation or denial of services from a supplier.. (b) Timely notice of end of cost-Sharing obligations for supplemental oxygen Section 1834(a)(5)(F) of the Social Security Act (42 U.S.C. 1395m(a)(5)(F)), is amended by adding at the end the following new clause: (iii) Timely notice of end of cost-sharing obligations for supplemental oxygen The Secretary, in consultation with patient advocates, physicians, supplemental oxygen suppliers, respiratory therapists, and other stakeholders, shall distribute a monthly notice to each individual receiving supplemental oxygen equipment, supplies, and services stating the number of months remaining within the rental cap period under this subparagraph during which the beneficiary is responsible for the copayment amount for such equipment..