CMS to allow use of IFR rates in Medicaid calculations

Thursday, June 14, 2018

WASHINGTON – CMS has agreed that states can process claims using the higher fee schedule amounts for claims in rural areas from June 1-Dec. 16, 2018, according to a bulletin from AAHomecare. Previously, the agency had said that any fee schedule adjustments would not impact 21st Century Cures Act reconciliation as they would be using the Jan. 1, 2018 rates. The agency also agreed that states that are not simply basing their rates on Medicare rates can present their utilization for reconciliation on area- of-service and for dates from Jan. 1 through May 31, 2018, and for June 1 through Dec. 31, 2018. CMS will then use the higher rates for the rural areas in the reconciliation process. “I am happy we were able to influence CMS to utilize the rates that offered relief to many rural areas," said Laura Williard, vice president of payer relations for AAHomecare.