Tag: Medicaid

WASHINGTON – HME providers in Florida will receive a 7.5% increase to the Medicaid fee schedule, the first in 23 years, AAHomecare reports.  Additionally, the increase must be passed along from managed care organizations (MCOs), which manage 73% of the Medicaid population in the state, to providers.  "This rate bump will protect access to critical home care services and begin to relieve the financial stress on businesses in our industry,” said Crispin Teufel, CEO of Clearwater,...

NEW YORK – Tomorrow Health’s move to expand its customer base to include Medicaid managed care organizations will benefit HME providers by streamlining often cumbersome processes for these patients, says CEO Vijay Kedar.  “For many Medicaid members that are in need of equipment or supplies, it is often quite complex to navigate the benefit and coverage guidelines, as well as the administrative complexity that is required,” he said. “We've felt that expanding...

NEW YORK – Tomorrow Health has announced new technology that it says can help Medicaid managed care organizations move beyond analog fax and phone workflows for home-based care, get up-to-the minute insight into order status and better manage members with complex cases. The company says its technology can provide an extra layer of efficiency by providing care coordinators with important DME-related information, such as referring provider details, product category estimated delivery date, confirmed...

WASHINGTON – As part of a new national campaign, AAHomecare is asking industry stakeholders to use the recent CPI-U adjustments to the Medicare fee schedule as a talking point with state Medicaid programs to increase their rates.  CMS in December published a fee schedule reflecting 6.4% to 9.1% CPI-U adjustments, prompting AAHomecare to develop a template letter that stakeholders can personalize and share with state Medicaid programs to help provide a “rationale” for...

RICHMOND, Va. – The Atlantic Coast Medical Equipment Services Association (ACMESA), along with AAHomecare, is asking stakeholders in Virginia to contact their lawmakers in the House and Senate to pass a budget amendment that would direct the state Medicaid program, the Department of Medical Assistance Services, to set reimbursement for DME at 100% of the Medicare rate in rural areas. “In recent years, the DME industry has seen significant cost increases due to supply chain issues, higher...

WASHINGTON – AAHomecare’s Payer Relations Team has begun a nationwide campaign to work with state/regional association leaders to better align state Medicaid rates with higher costs.  The association says HME providers are experiencing increasing product prices and operational costs due to the COVID-19 pandemic and supply chain issues, as well as ongoing inflation pressures.  “Our work will include requesting that rates reflect the 6.4%+ CPI-U increases granted by...

WASHINGTON – AAHomecare’s Payer Relations Team has begun a nationwide campaign to work with state/regional association leaders to better align state Medicaid rates with higher costs.  The association says HME providers are experiencing increasing product prices and operational costs due to the COVID-19 pandemic and supply chain issues, as well as ongoing inflation pressures.  “Our work will include requesting that rates reflect the 6.4%+ CPI-U increases granted by...

EAST AMHERST, N.Y. – NCART has come right out of the gate in 2022 to work on Medicaid issues, including protecting reimbursement for complex rehab.  The association, through its CRT Payer Relations Committee, is working on various issues in at least 10 different states, including California and Illinois, where legislation has been introduced to recognize and protect the specialized nature of complex rehab.  “That issue is going to continue to be a part of our priority...

RALEIGH, N.C. – North Carolina Gov. Roy Cooper on June 29 signed S594, a bill that creates a rate floor for durable medical equipment, ACMESA and AAHomecare report.  Per the legislation, reimbursement for DME will be set at 100% of the lesser of the supplier’s usual and customary rate or the maximum allowable Medicaid fee-for-service rates for DME and supplies, orthotics and prosthetics.  The legislation, which went into effect July 1, protects rate floor provisions for...

WASHINGTON – CMS has named Daniel Tsai as Deputy Administrator and Director of Center for Medicaid and CHIP Services, effective July 6. Tsai will lead the Center’s efforts to address disparities in health equity and serving the needs of the record 80 million children, pregnant people, parents, seniors, and individuals with disabilities. “As someone who has successfully led a state Medicaid program to focus on value-based care for its recipients, Dan brings invaluable experience...