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CMS
WASHINGTON, D.C. (July 28, 2022)—Mobility stakeholders and patient group leaders are preparing for an expected opening of the National Coverage Determination (NCD) for seat elevation and standing systems for power wheelchairs.
WASHINGTON, D.C. (July 22, 2022)—The Department of Justice announced criminal charges against 36 defendants in 13 federal districts across the United States for more than $1.2 billion in alleged fraudulent telemedicine, cardiovascular and cancer genetic testing, and durable medical equipment (DME) schemes.
WASHINGTON, D.C. (July 21, 2022)—Today, the Centers for Medicare & Medicaid Services (CMS) is releasing the first-ever home- and community-based services (HCBS) quality measure set to promote consistent quality measurement within and across state Medicaid HCBS programs. The measure set is intended to provide insight into the quality of HCBS programs and enable states to measure and improve health outcomes for people relying on long-term services and support (LTSS) in Medicaid.
Evaluate your processes now to save headaches later
WASHINGTON, D.C. (July 8, 2022)—The National Association for Home Care & Hospice (NAHC) and a group of likeminded organizations have written to Brian Slater, director of the Division of Home Health and Hospice in the Center for Medicare Centers for Medicare & Medicaid Services (CMS) to reiterate strong support for the authority of nurse practitioners (NPs) and clinical nurse specialists (CNSs) to order and certify home health services for Medicare beneficiaries.
WASHINGTON, D.C. (June 21, 2022)—The annual proposed rule for Medicare home health services includes an estimated 4.2% or $810 million decrease in aggregate payments, said the Centers for Medicare and Medicaid Services (CMS) in its fact sheet on the rule. The rule would apply to calendar year 2023.
WASHINGTON, D.C. (June 7, 2022)—On Friday, June 3, the U.S. Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS), notified states that they now have an additional year—through March 31, 2025—to use funding made available through the American Rescue Plan (ARP) to enhance, expand and strengthen home- and community-based services (HCBS) for people with Medicaid who need long-term services and supports.
BIRMINGHAM, Alabama (June 3, 2022)--A Georgia woman was arrested on June 1 in Hampton, Georgia, on criminal charges related to an alleged scheme to defraud Medicare by prescribing medically unnecessary durable medical equipment (DME), which was then billed to Medicare.
DALLAS, Texas (May 17, 2022)—A federal jury in Dallas, Texas, convicted the owners and operators of four orthotic brace suppliers in Texas and Arkansas for a $6.5 million illegal kickback scheme, including violations of the federal Anti-Kickback Statute.
BIRMINGHM, Ala. (May 13, 2022)—Medicaid can directly pay for independent home health aides' benefits, including health insurance and skills training, according to a final rule the Centers for Medicare & Medicaid Services (CMS) issued Thursday. The final rule allows State Medicaid agencies to provide home health aides not working with an agency employee benefit premiums and union dues deducted from their paychecks.
WATERLOO, Iowa (May 12, 2022)—VGM & Associates routinely monitors environmental factors that impact home medical equipment (HME) providers and their ability to effectively provide their products and services to patients who need and rely on them.
WASHIGNTON, D.C. (April 28, 2022)—Legislation has recently been introduced that would work to improve the Medicare enrollment process for individuals nearing Medicare eligibility, aged 60-64. Longtime homecare champions Sens. Bob Casey (D-Pennsylvania) and Todd Young (R-Indiana) are leading the charge for the Beneficiary Enrollment Notification and Eligibility Simplification 2.0 (BENES 2.0) Act, (S. 2675).
WASHINGTON, D.C. (April 22, 2022)—The Centers for Medicare & Medicaid Services (CMS) announced it will offer more than $110 million to expand access to home and community-based services (HCBS) through Medicaid’s Money Follows the Person (MFP) program.
WASHINGTON, D.C (April 19, 2022)—The Centers for Medicare & Medicaid Services (CMS) has issued a final rule with comment period that finalizes two remaining proposals from the original proposed rule that laid out policy and technical changes to the Medicare Advantage program, Medicare Part D, Medicaid and more. That proposed rule was originally issued in February 2020.
WASHINGTON, D.C. (April 7, 2022)—The Health Resources and Services Administration (HRSA) sent a “Dear Provider” letter announcing an opportunity for providers to submit a Request to Report Late Due to Extenuating Circumstances for PRF Reporting Period 1 if one or more of the extenuating circumstances described below apply.
WASHINGTON, D.C. (April 5, 2022)—The Biden-Harris Administration announced that more than 59 million Americans with Medicare Part B, including those enrolled in a Medicare Advantage plan, now have access to FDA approved, authorized or cleared over-the-counter COVID-19 tests at no cost. People with Medicare can get up to eight tests per calendar month from participating pharmacies and health care providers for the duration of the COVID-19 public health emergency.
WASHINGTON, D.C. (April 1, 2022)—On Monday, March 28th, President Biden released a $5.8 trillion proposed budget for fiscal year (FY) 2023, which begins Oct. 1, 2022. While the White House budget is simply a request and Congress has final say on government spending, it does provide a window into the president’s priorities and where his administration wants to direct its efforts going forward.
WASHINGTON, D.C. (March 31, 2022)—The Centers for Medicare & Medicaid Services (CMS) has issued a proposed rule (CMS1773-P) that would provide routine updates to hospice based payments and the aggregate cap amount for fiscal year (FY) 2023 in accordance with existing statutory and regulatory requirements. This rule proposes to establish a permanent mitigation policy to smooth the impact of year-to-year changes in hospice payments related to changes in the hospice wage index.
WASHINGTON, D.C. (March 11, 2022)—The Advanced Care at Home Coalition applauds introduction of the Hospital Inpatient Services Modernization Act, which would extend the Acute Care at Home waivers that have allowed for the expanded delivery of hospital-level care at home for Medicare beneficiaries during the COVID-19 pandemic.
WASHINGTON, D.C. (March 1, 2022)—Building on the Biden-Harris administration’s priorities for a better health care system, the Centers for Medicare & Medicaid Services (CMS) has announced a redesigned Accountable Care Organization (ACO) model that better reflects the agency’s vision of creating a health system that achieves equitable outcomes through high quality, affordable, person-centered care.
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