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21st Century Cures Act

Providers feel burned in California

Under a proposal, Medi-Cal reimbursement for an oxygen concentrator would drop to $55.19

SACRAMENTO, Calif. – California’s Medicaid program, Medi-Cal, may find itself in a bind for HME providers if a drastic reimbursement cut goes through as planned, say industry stakeholders.

CMS stacks deck against Medicaid

Guidance letter about rate cuts comes days before implementation date

WASHINGTON – With little time to make an informed decision, an increasing number of states, including Georgia, Indiana and Washington, are planning to adopt Medicare reimbursement for certain DME to comply with a provision in the 21st Century Cures Act.

As CMS rolls out details, eyes turn to Medicaid

‘The states have to ensure access to care, so they have the right to set rates to whatever they need to’

WASHINGTON – CMS has finally started to detail how it plans to implement a provision in the 21st Century Cures Act that requires the agency to cap its contribution to Medicaid reimbursement for DME at Medicare reimbursement starting Jan. 1, 2018.

CMS releases guidance on bid-rate relief


WASHINGTON – Suppliers won’t need to resubmit claims to get retroactive payment adjustments mandated by the 21st Century Cures Act, according to guidance released today by CMS.

In brief: Bid relief becomes official, BioScrip restructures credit


WASHINGTON – President Barack Obama on Dec. 13 signed into law the 21st Century Cures Act, which offers some relief to HME providers in rural areas.

Devil in the details: Stakeholders await guidance on bid relief


WASHINGTON – Now that a rollback of a second round of Medicare reimbursement cuts in rural areas is a foregone conclusion, the big question is: How will CMS follow through on Congress’ directive?

Bid relief nears finish line


WASHINGTON – The HME industry is within spitting distance of rolling back certain Medicare reimbursement cuts after the 21st Century Cures Act sailed through the House of Representatives last week.

Cures Act passes House


WASHINGTON – The House of Representatives yesterday passed the 21st Century Cures Act, which includes important HME-related provisions, by a margin of 392 to 26.

Cures Act has wins, losses for HME industry

By Theresa Flaherty, Managing Editor

WASHINGTON – A bright spot in the high-profile 21st Century Cures Act that the House of Representatives passed on Friday: a provision that would extend CMS’s PMD demo.