NHIA pushes lawmakers for fix

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Wednesday, October 2, 2019

WASHINGTON – Forty-six members of the National Home Infusion Association met with more than 70 Congressional offices on Oct. 1 to discuss concerns with how CMS plans to implement a payment policy for home infusion services.

In a final rule released in 2018, CMS said it would limit reimbursement for professional services to only those days a “skilled professional”—which it defines as a nurse—is in the home. Stakeholders have pushed back, saying that was not the intent of lawmakers.

“Congress took the first step to improve access to home infusion when it enacted the 21st Century Cures Act,” said Sharon Pearce, NHIA’s vice president of government affairs. “With our members, NHIA is fighting to finish the job by requiring CMS to properly implement that law and to promote other policies that increase beneficiary access to these life-saving therapies.”

NHIA in February filed a lawsuit in federal court against the U.S. Department of Health and Human Services over its “skilled professional” requirement.