Tag: Cures Act Adjustments

WASHINGTON - HME providers in California and Indiana have recently received reprieves from steep Medicaid cuts, but the discussion is going to be ongoing in those states and others as Medicaid programs still try to comply with the 21st Century Cures Act.Per the Cures Act, passed in late 2016, the federal portion of Medicaid reimbursement for HME cannot exceed what Medicare allows. States can either base their Medicaid rates on Medicare's lowest fee schedule; or they can gather aggregated data using...

AAHomecare has learned from CMS that a provision contained in the 21st Century Cures Act will apply to all HCPCS codes covered by Medicare and Medicaid, not just the codes included in the competitive bidding program. This will allow individual states to set allowables as they choose, the association says. The provision in the Cures Act retroactively delayed a second round of reimbursement cuts in non-bid areas from July 1, 2016, to Jan. 1, 2017…CGS and Noridian are reporting Cures Act adjustments...