On September 9, 2024, Aimed Alliance submitted a comment on the Centers for Medicare & Medicaid Services’ (CMS) 2025 Physician Fee Schedule, expressing support for the inclusion of digital mental health treatment (DMHT) codes and emphasizing the importance of a flexible, patient-centered approach to expanding access to innovative mental health care treatments.
In the comment, Aimed Alliance advocates for flexible payment policies that cover all FDA-cleared DMHT devices, including “off-label” use, to respect providers’ clinical judgment and support patient-centered mental health care. Expanding payment eligibility beyond devices regulated under 21 CFR 882.5801 would ensure access to a broader range of effective digital therapies. The letter also recommends flexibility in billing for treatment compliance, as digital therapeutics are new for many patients, and short-term non-compliance due to technological or mental health challenges should not result in coverage loss. Lastly, it urges CMS not to impose strict caps on the number of DMHT devices a patient can access, as this could limit comprehensive care for individuals with complex mental health needs. Read the letter.
Last Updated on September 12, 2024 by Aimed Alliance
