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CMS releases fee schedule, AAH conducts analysis 

CMS releases fee schedule, AAH conducts analysis 

WASHINGTON ­– Non-competitive bidding areas will see a slight decrease in Medicare reimbursement, based on the 2021 fee schedule CMS released earlier this week. 

Rural areas will see a decrease of about 0.2% and non-rural areas will see a decrease of about 0.5%, according to an analysis of the top 25 HCPCS codes by AAHomecare. 

CMS will continue to apply the CARES Act relief rates in rural and non-rural areas, resulting in rates in non-rural areas that are, on average, 31% higher for January 2021 vs. January 2020. 

These relief rates have impacted the rates of other payers, as many non-Medicare payers and state Medicaid programs base their rates off of the Jan. 1 Medicare non-rural fee schedule each year.  

AAHomecare will be working with state and regional associations to notify the impacted Medicaid programs of the new fee schedule and will continue to work with the industry to ensure those relief rates are applied where appropriate. 

See the association’s region-by-region analysis for additional perspective:  

Far West – CA, OR, NV, WA 

Great Lakes – IL, IN, MI, OH, WI 

Mideast – DE, DC, MD, NJ, NY, PA 

New England – CT, ME, MA, NH, RI, VT 

Plains – IA, KS, MN, MO, NE, ND, SD 

Rocky Mountains – CO, ID, MT, UT, WY 

Southeast – AL, AR, FL, GA, KY, LA, MS, NC, SC, TN, VA, WV 

Southwest – AZ, NM, OK, TX 

Former CBAs 


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