The latest round of legislation looks to roll back cuts made by competitive bidding.

WASHINGTON, D.C. (March 9, 2017)—Legislation to prevent the application of bidding-derived pricing for CRT accessories was introduced in the Senate and House last week. The Senate bill, S. 486, introduced by lead sponsors Sens. Rob Portman (R-Ohio) and Bob Casey (D-Pa.), and its House companion, H.R. 1361, introduced by Reps. Lee Zeldin (R-N.Y.) and John Larson (D-Conn.) both show strong bipartisan support from initial co-sponsors.

Ryan and Witter reminded attendees to remain positive in the face of tough times.

LAS VEGAS (February 28, 2017)—Speakers at the American Association for Homecare’s Legislative Update characterized 2017 as a “year of opportunity” on day two of Medtrade Spring. “We believe we can work in the regulatory environment,” said Tom Ryan, president and CEO, AAHomecare, “and not have to continue to go to the Hill for legislation.”

There is no word from the Defense Health Agency on whether claims will be reprocessed.

WASHINGTON, D.C. (February 22, 2017)—AAHomecare recently evaluated the language of the CURES Bill and how it pertains to the TRICARE network. As previously reported, AAHomecare received an attorney opinion that the language inside of the CURES Bill should relate to the TRICARE network as well.

AAHomecare and NEMEP partnered to study the effects on suppliers in the state.

WASHINGTON, D.C. (February 22, 2017)—Last June, The New York State Department of Health (NYS DOH) announced an “Incontinence Supply Management Program” for all Medicaid beneficiaries that would implement minimum quality standards for incontinence products to take effect on September 1, 2016. In addition to the quality standards, NY DOH also awarded a preferred vendor contract to TwinMed, LLC for incontinence products to be purchased by Medicaid providers.


The paper will help frame discussions with state Medicaid directors around CURES Act regulations.

WASHINGTON, D.C. (February 9, 2017)—The American Association for Homecare (AAHomecare) today released a briefing paper designed to assist home medical equipment leaders nationwide in their efforts to engage state Medicaid directors on future Medicaid rate-setting deliberations involving home medical equipment.

WASHINGTON, D.C. (January 31, 2017)—CMS today announced plans to consolidate all rounds and areas included in the competitive bidding program for DME into a single round of competition to be known as Round 2019. The Round 1 2017, Round 2 Recompete, and National Mail-Order Recompete contract periods for all product categories will all continue through December 31, 2018. Round 2019 contracts will take effect on January 1, 2019, and run through Dec. 31, 2021.

WASHINGTON, D.C. (January 30, 2017)—The American Association for Homecare (AAHomecare) is calling on the contractors administering TRICARE military health plans nationwide to reprocess claims for home medical equipment for the last six months of 2016 on account of provisions in recent health care legislation affecting Medicare reimbursement rates.


WASHINGTON, D.C. (January 18, 2017)—CMS published guidance to the states on Friday, January 13, in an effort to give strategies to the state to ensure access to DMEPOS is available. This was issued due to comments from 2016 on CMS 1651-P and 2011 comments submitted in response to Federal Register Request for Comment on alignment under Medicaid and Medicare. While CMS cannot enforce these suggestions, we believe that they would benefit both states and providers.

WASHINGTON, D.C. (January 11, 2017)—AAHomecare’s State Leaders Council, comprised of state association leadership from across the country, formed a Work Group to collaboratively develop strategies and coordinate resources for tackling the provision in recent CURES legislation that limits the federal portion of Medicaid spending to competitive bidding prices for DMEPOS starting in 2018.

Via AAHomecare—WASHINGTON, D.C. (December 7, 2016)—This afternoon, the Senate passed H.R. 34, the 21st Century Cures Act (CURES) by a 94–5 margin. The bill's HME-related provisions remain unchanged from our summary last week; the bill's positive measures, its effect on future Medicaid reimbursement rates, and the road ahead are discussed in the President's Message that follows below.


WASHINGTON, D.C. (October 31, 2016)—CMS issued a final rule last week, covering end-stage renal care and changes to the DME competitive bidding program. Provisions of interest to the home medical equipment community include:

Bid Ceilings—Bid ceilings for future rounds will be based on the 2015 fee unadjusted fee schedule, instead of CMS's earlier proposal to establish bid ceilings at the current CBA pricing.