CMS to Extend Medicare Care Choice Model

​The Centers for Medicare & Medicaid Services (CMS) will extend the Medicare Care Choices Model (MCCM) by one calendar year, through December 31, 2021, allowing more Medicare beneficiaries to access supportive care. MCCM tests a new option for Medicare beneficiaries to receive supportive care services from selected hospice providers. It evaluates whether those services can…

Pandemic Forced Insurers to Pay for In-Home Treatments. Will They Disappear?

Julie Appleby, Kaiser Health News June 23, 2020 After seven days as an inpatient for complications related to heart problems, Glenn Shanoski was initially hesitant when doctors suggested in early April that he could cut his hospital stay short and recover at home — with high-tech 24-hour monitoring and daily visits from medical teams. But…

NAHC to Senate: More Support for Medicaid and Home-Based Services

The National Association for Home Care and Hospice have joined several other organizations in urging Senate leaders to protect and bolster access to care and delivery systems that disabled and older Americans rely on. With the aging and disability communities facing unique risks of COVID-19 infection, additional resources and supports are necessary for their protection.…

NAHC Asks CMS to Waive Home Infusion Restrictions

Legislative remedy for this crisis detailed below The National Association for Home Care & Hospice (NAHC) has joined a group of organizations calling on Medicare to lift restrictions on home infusion during the current public health emergency, and in support for concept legislation that would allow patients who need intravenous (IV) medications — but don’t otherwise…

NAHC to HHS: Do More to Help People Sign Up for Medicare

The National Association for Home Care and Hospice (NAHC) has joined with 75 other groups in sending a letter to Alex Azar, the Secretary for the Department of Health and Human Services (HHS), urging the Department to help people sign up for Medicare coverage amidst the COVID-19 outbreak. With all Social Security Administration offices closing…

CMS Launches Accelerated/Advance Payments for Medicare Providers due to COVID-19

The Centers for Medicare & Medicaid Services (CMS) has expanded the current Accelerated and Advance Payment Program for the duration of the COVID-19 public health emergency with the goal of extending financial hardship relief to a broader group of Part A providers and Part B suppliers. Most providers and suppliers will be able to request…

CMS Issues Proposals for Medicare Advantage Plans

The Centers for Medicare & Medicaid Services (CMS) has released a proposed rule titled: Medicare and Medicaid Programs; Contract Year 2021 and 2022 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicaid Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly. Also released, is Part…

President’s Budget Reinforces Goal of Unified Post-Acute Payment System, Takes Aim at Hospice in Nursing Homes

On Monday, February 10, 2020, a general outline of the President’s fiscal year (FY) 2021 budget was submitted to Congress. The FY2021 budget proposes to reduce spending on programs administered by the Centers for Medicare & Medicaid Services (CMS) by $1.6 trillion over the next 10 years, including $500 billion from Medicare and $920 billion…

CMS Updates Enrollment Decision Appeals Procedure

The Centers for Medicare & Medicaid Services (CMS) updated Chapter 15 – Medicare Enrollment –  of the Medicare Program Integrity Manual via Change Request (CR) 11210/Transmittal 936 Provider Enrollment Appeals Procedure. This CR deals with provider enrollment appeals and  provides instructions to the Medicare Administrative Contractor (MAC) on handling  reconsideration requests and Corrective Action Plans…

House Committee Debates Measure to Simplify Medicare Enrollment

The Health Subcommittee of the Energy and Commerce Committee in the House of Representatives debated a bill earlier this month to assist new Medicare beneficiaries in signing up for Medicare Part B. During the hearing “Legislation to Improve Americans’ Health Care Coverage and Outcomes,” witnesses and members of Congress considered H.R. 2477, the Beneficiary Enrollment…