AAH updates: Humana, Indiana Medicaid, telehealth

Thursday, September 10, 2020

AAHomecare is drafting a response to Humana’s decision to make changes in its authorization process for non-invasive ventilators, including providing only a 90-day initial authorization and requiring compliance data to extend authorization. The association has a number of concerns with the change, including how it will impact patients, how it might result in re-hospitalizations, how it’s inconsistent with Medicare requirements, and how it’s a more restrictive authorization process during a public health emergency...AAHomecare, as well as the Great Lakes Home Medical Services Association, VGM and NCART, have developed an issue brief in response to Indiana Medicaid’s plans to “cut HME rates to the state’s lowest Medicare rate for CURES codes on Feb 1. and remaining non-CURES codes on Aug. 1.” “Implementation of drastic and broad rate reductions at a time of uncertainty in the Medicare program, based on the lowest Medicare rate and during a public health emergency, would cause great disruption to service,” AAHomecare states...In a letter responding to CMS’s proposed rule to expand coverage for some telehealth and remote physiologic monitoring services, AAHomecare strongly recommends that these services, which have been covered under the public health emergency, be covered permanently. The association also recommends that CMS allow remote monitoring services to satisfy the requirement for the face-to-face encounter. CMS is accepting comments until Oct. 5.