US · guidance
CMS Pub. 100-04, ch. 32, § 413
Noninvasive Positive Pressure Ventilation (NIPPV) in the Home for the
Treatment of Chronic Respiratory Failure (CRF) Consequent to Chronic
Obstructive Pulmonary Disease (COPD)
(Rev. 13611; Issued: 01-30-26; Effective: 06-09-25; Implementation: 10-22-25)
Respiratory Assist Devices (RADs) with bi-level capability, with or without a backup rate feature, are
devices that use a non-invasive interface (mask) to deliver a higher level of airway pressure when the
patient inhales than when the patient exhales. A backup rate feature enables the device to provide a
prespecified respiratory rate if the patient’s spontaneous respiratory rate decreases below a set number.
A home mechanical ventilator (HMV) delivers a predetermined amount of air with each breath and typically
has more monitoring, safety, alarm and backup power features (batteries) than a RAD.
History
(Rev. 13611; Issued: 01-30-26; Effective: 06-09-25; Implementation: 10-22-25)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
d77ed737625738054fba2886bf4fbd8ee2971b81143a684051d82617ecbe56f2
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