WASHINGTON – CMS has published guidance to help states ensure access to DMEPOS is available for dual-eligible beneficiaries. Those strategies are: recommend prior approval; ensure DME claims for dual-eligibles are assessed against Medicaid’s broader coverage criteria; and ensure Medicaid is only looking for Medicare prior authorizations on those items and in those states that Medicare requires it. The guidance also states that states should consider incorporating these requirements and strategies into contracts with Medicaid MCOs.
WASHINGTON – The HME Audit Key is now open for submitting data for the fourth quarter of 2016, according to AAHomecare. The association launched the HME Audit Key in 2014 to track audit activity and present findings to lawmakers. AAHomecare recently took steps to increase participation in the Audit Key, including partnering with Brightree to begin beta testing a report that would give providers many of the answers to the toughest questions in the survey.
AUSTIN, Texas, and ORLANDO, Fla. – Ottobock and TaiLor Made Prosthetics have reached an agreement for Ottobock to be the exclusive distributor of the TaiLor Made prosthetic foot globally, starting in the United States.
WASHINGTON – Sens. Chuck Grassley (R-Iowa), Bob Casey (D-Penn.) and Sherrod Brown (D-Ohio) have re-introduced a bill to help pharmacists provide healthcare services to Medicare beneficiaries in underserved areas.
WASHINGTON – Industry stakeholders were still waiting for word from CMS at press time on Friday on how the agency plans to retroactively delay a second round of reimbursement cuts in non-competitive bidding areas.