Tricare contractor agrees that rollback provision applies

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Thursday, February 23, 2017

WASHINGTON – Health Net Federal Services, the Tricare contractor for the north region, agrees that a provision in the 21st Century Cures Act impacts its payments for home medical equipment, according to AAHomecare. The association had called on the three Tricare contractors to reprocess six months of claims for HME, since its reimbursement rates are pegged to Medicare reimbursement rates by law and by current network agreements. The provision in the Cures Act rolls back Medicare reimbursement cuts for HME in rural areas from July 1, 2016, to Jan, 1, 2017. Health Net says it will need a directive issued by the Defense Health Agency to be able to reprocess these claims.