You have diabetes and you have at least one of these conditions in either one or both feet;

•   • Previous amputation of all or part of your foot
    • Previous foot ulcer
    • History of pre-ulcerative calluses
    • Nerve damage in your feet (peripheral neuropathy) with calluses
    • Poor circulation in your feet
    • Foot deformity (for example, hammertoes or bunions)

What Documentation Is Required?

Medicare requires specific paperwork from both your doctor and the shoe supplier before coverage is approved.

A. Documentation from Your Doctor (Prescribing Physician)

1. In-person visit:
- You must have an in-person exam within 6 months before getting the shoes.
- The visit note must clearly show that you have diabetes and one or more of the foot conditions listed above.

2. Certification statement (Form):
- Your doctor (usually the one managing your diabetes) must sign and date a form confirming:
  • You have diabetes
  • You have one or more qualifying foot conditions
  • You are being treated under a comprehensive plan of care for diabetes
  • You need therapeutic shoes/inserts

B. Documentation from the Foot Specialist (if applicable)

If a podiatrist, orthotist, or prosthetist fits and provides your shoes:
- They must keep records of the fitting, shoe style, and insert type.
- They must have a valid prescription from your diabetes-treating doctor.

C. The Supplier’s Role

The shoe supplier (orthotic/prosthetic provider or DME supplier) will:
- Help collect all required documentation from your doctors,
- Ensure proper fitting, and
- Submit the claim to Medicare.