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MCOs shift Medicaid landscape

‘We are disappointed that they are taking away quality customer service and care’
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08/18/2017

YARMOUTH, Maine – Managed care organizations targeting single-source or preferred provider contracts to provide DME and supplies for Medicaid recipients is a trend that’s spreading across the country, according to the results of a recent HME Newspoll.

Apria letter spotlights grandfathering provision

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08/18/2017

LAKE FOREST, Calif. – Grandfathering under the competitive bidding program came up recently when Medicare beneficiaries in California received a letter from Apria Healthcare saying that, as of August, they must transition to a contracted provider.

Separate benefit for complex rehab back in play

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08/18/2017

WASHINGTON – Legislation to create a separate benefit for complex rehab is on the radar of the Congressional Budget Office, says NCART Executive Director Don Clayback.

Regulatory news: CMS revamps audits, lawmakers question CPAP bundling

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08/18/2017

WASHINGTON – Claims submitted by providers that have the highest claim error rates or billing practices that vary significantly from their peers will soon face increased scrutiny, CMS has announced.

In brief: HHS scores win in appeals fight, Superior HealthPlan makes changes to Medline contract

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08/18/2017

NEW YORK – The D.C. Circuit on Aug. 11 ordered a federal judge to take a deeper look at whether or not the U.S. Department of Health and Human Services can clear a backlog of about 600,000 appeals by 2021, while still protecting taxpayer dollars, according to Law360.

House questions CPAP bundling program

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08/17/2017

WASHINGTON – A bipartisan group in the House of Representatives is circulating a congressional sign-on letter that asks CMS to delay a CPAP bundling pilot program from the next round of competitive bidding.

Mobility

Providers

Poll

HME NewsPoll September 2017

Managed care organizations that help to administer the Medicaid programs in Indiana and Texas are in the process of moving to single-source contracts for DME and supplies.