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Payer relations: Cures Act, state toolkit on agenda for 2019

December 14, 2018Theresa Flaherty, Managing Editor

WASHINGTON - The past year has been a busy one for AAHomecare's Laura Williard: She met with 28 states about Medicaid rates. 2019 is shaping up to be just as busy, she says.Per the 21st Century 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 their Medicaid rates and utilization rates by area for 2018.“We...

aahomecare, Cures Act Reconciliation, Laura Williard, Payer Relations


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