CMS Announces Expansion of Review Choice Demonstration to More States

Texas starts in December, North Carolina and Florida in 2020 Updated to include a statement from NAHC President William A. Dombi The Centers for Medicare & Medicaid (CMS) announced today that the next state to participate in the Review Choice Demonstration (RCD) is Texas and it will begin on December 2, 2019. In the same…

CMS Acts to Support Victims of Hurricane Dorian

The Centers for Medicare & Medicaid Services (CMS) has announced efforts underway to support Florida, Georgia, and South Carolina in response to Hurricane Dorian. On August 30, Health and Human Secretary Alex Azar declared a public health emergency (PHE) in Florida. On September 2, Secretary Azar did the same for Georgia and South Carolina. CMS…

States Grapple with the Opioid Epidemic and Pain Management

Florida bill would make it easier to prescribe for hospice patients The opioid epidemic claims about 115 lives per day in the United States, a rate that has grown by 4000 percent since 1999. Nearly half of these opioid-related fatalities involve a prescription drug, according to the Centers for Disease Control and Prevention. In March…

Home Health Agency Provider Enrollment Moratoria Expires

The Centers for Medicare & Medicaid Services (CMS) posted the following on its web site announcing the expiration the Medicare Provider Enrolment Moratoria, which includes those states where a moratorium had been issued for new home health agencies (HHAs). “As of January 30, 2019, there are no active Medicare Provider Enrollment Moratoria in any State…

GAO: State Medicaid Home-and-Community-Based Services Face Funding and Workforce Challenges

States struggle to provide home-and-community-based services through their Medicaid programs due to workforce issues related to low pay, the complex needs of many patients, and limited funds from state governments, according to a new report from the Government Accountability Office (GAO). All state Medicaid programs provide some financial support for long-term services and supports (LTSS)…

Florida Members of Congress Question CMS about Prior Authorization Program

In response to the Review Choice Demonstration (RCD) program, as proposed by the Centers for Medicare and Medicaid Services (CMS), members of the Florida Congressional Delegation have submitted a letter to CMS outlining their concerns with the program. The RCD program, a slightly modified version of 2016’s Pre-Claim Review (PCR) demonstration program, was proposed as…

CMS Expands Demonstration Program That Waives HHA Moratoria

The Centers for Medicare & Medicaid Services (CMS) issued a revision of an existing demonstration program that authorizes a waiver of the moratoria on new home health agencies (HHAs) under limited circumstances. The revised demonstration permits an applicant for Medicare participations as an HHA to be enrolled in Medicare to provide services in a moratoria-designated…

CMS Extends Moratoria on New Home Health Agencies in Key States

The Centers for Medicare & Medicaid Services (CMS) announced today it will extend and implement temporary enrollment moratoria on home health agencies (HHAs) for all counties in the states of  Florida, Illinois, Michigan, and Texas, as well as Part B non-emergency ground ambulance providers and suppliers for all counties in New Jersey and Pennsylvania. The…

CMS Releases FAQ about Revised Pre-Claim Review Proposal

As we reported last week, the Centers for Medicare & Medicaid Services (CMS) proposed to bring back an altered version of the pre-claim review (PCR) demonstration. The CMS released a list of frequently asked questions (FAQ) and answers about their proposal and they provide some insight into what is coming for the industry if the…