Update to ‘J’ Drug Code List for Billing Home Infusion Therapy Services

(Before we get to the story, please note that NAHC will hold a critically important webinar, What the CY2023 Home Health Proposed Payment Rule Means for Your Agency. “The stability of home health care is at risk,” said NAHC President William A. Dombi, in reaction to the release of the CY2023 home health proposed payment update rule. “What…

Electronic Visit Verification System for Medicaid In-Home Services

On a routine basis, the Department of Health & Human Services Office of the Inspector General (OIG) notifies the public of additional projects that it has undertaken as part of its Work Plan through its daily What’s New email issuances and announcements on its website.  Recently, the OIG announced its intent to conduct an audit of state implementation of Medicaid Electronic Visit Verification (EVV) requirements.

All States must implement electronic visit verification (EVV) for personal care services (PCS) by January 1, 2020, and for home health services (HHSC) by January 1, 2023, as required by the 21st Century Cures Act. The Centers for  Medicare & Medicaid Services (CMS) granted 1-year extensions (to January 1, 2021) for the vast majority of States to meet the EVV requirements for PCS.

Once implemented, EVV could increase the risk that Medicaid beneficiaries’ needs are not being met, potentially compromising their health and safety. Our objectives will be to determine whether the State: (1) has implemented an EVV system in accordance with Federal and State requirements, and (2) has developed policies and procedures when using EVV to ensure that Medicaid beneficiaries receive their required in-home services.

Announced or Revised Agency Title Component Report Number(s) Expected Issue Date (FY)
April 2022 Centers for Medicare and Medicaid Services Electronic Visit Verification System for Medicaid In-Home Services Office of Audit Services W-00-22-31564 2023

Electronic Visit Verification System for Medicaid In-Home Services

On a routine basis, the Department of Health & Human Services Office of the Inspector General (OIG) notifies the public of additional projects that it has undertaken as part of its Work Plan through its daily What’s New email issuances and announcements on its website.  Recently, the OIG announced its intent to conduct an audit…

NAHC Urges Congress to Not Prohibit GPS & Biometrics in EVV Systems

The National Association for Home Care & Hospice is urging Congress to strongly consider changes to the Cures 2.0 legislation, in particular the proposal to prohibit the use of global positioning systems (GPS) and biometrics within electronic visit verification (EVV) systems. NAHC supported the 21St Century Cures Act (21CC) and is enthusiastic about its next iteration.…

NAHC to Congress: Support Patient Access to Home Infusion Therapy

The National Association for Home Care & Hospice has joined a group of like-minded organizations to tell Congress to support existing bipartisan, bicameral legislation that would ensure Medicare beneficiaries have access to intravenous (IV) medications in the comfort of their own homes. The COVID-19 pandemic has brought a spotlight on the value of home-based care…

Medical Innovation Legislation Includes Hospice, Telehealth & Caregiver Support

Last week, as a long-awaited follow-up to the transformative 2016 21st Century Cures Act, Representatives Diana DeGette (D-CO) and Fred Upton (R-MI) released text of a discussion draft for what is being referred to as CURES 2.0 legislation. (Bill text is HERE; summary is HERE.) While the bill’s primary focus is on advancing the country’s biomedical…

CMS Answers Key Home Care Questions

The Centers for Medicare & Medicaid Services (CMS) has provided the following responses to several outstanding questions submitted by the National Association for Home Care & Hospice (NAHC) . NAHC submitted the questions after receiving requests for clarification on these issues from its membership. Question #1 There is confusion based on the regulations below. Section…

New NAHC Webinar: The New Home Infusion Therapy Supplier Benefit

The National Association for Home Care & Hospice (NAHC) will present an important new webinar, The New Home Infusion Therapy (HIT) Supplier Benefit, on Thursday, December 10, 2020 from 2:00 to 3:0oPM Eastern. The webinar is free to anyone who attended the 2020 Home Care and Hospice Conference & Expo. Otherwise, the webinar costs $45…

CHAP Shares Standards for the Home Infusion Therapy Supplier

The Medicare home infusion therapy (HIT) supplier benefit is a new Medicare Part B benefit established in the 21st Century Cures Act. The new benefit covers the professional services associated with the provision of Part B infusion drugs, such as, nursing services that are furnished in accordance with a plan of care. The services include…

CMS Updates Process for Home Infusion Therapy Supplier Enrollment

The Medicare provider enrollment procsss for providers and suppliers interested in becoming a Home Infusion Therapy (HIT) Supplier will treat all applicants as new entrants to the program and require them to comply with all Medicare provider enrollment regulations, according to the 2021 home health prospective payment rate update proposed rule. The 21st Century Cures Act…