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Tag: Cures Act


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Medicaid holds off on cuts in Indiana

November 12, 2019HME News Staff

INDIANAPOLIS - Medicaid officials in Indiana have halted their plans to adopt the lowest Medicare rates, VGM reports. On Nov. 6, officials met in person with several members of the Great Lakes Home Medical Services association and HME providers in the state, along with representatives from VGM, AAHomecare and NCART, as a first step toward collaborating on fee schedule changes. In September, the state announced plans to adopt the lowest Medicare rates starting Oct. 1 to comply with the 21st Century...

Cures Act, Indiana, Medicaid cuts


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Minnesota Medicaid proposes 'claw back'

February 22, 2019Liz Beaulieu, Editor

SAINT PAUL, Minn. - A meeting in early February between HME stakeholders and Minnesota Medicaid officials on how to comply with a provision in the 21st Century Cures Act that requires Medicaid reimbursement not to exceed Medicare allowables ended in a stalemate.The state had initially sought input from HME stakeholders on its plan to implement a “claw back” for payments stretching back to Jan. 1, 2018.“It was determined that we would no longer discuss Cures for we weren't getting...

claw back, Cures Act, MAMES, Minnesota Medicaid


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Sign-on letter circulates to protect complex rehab

May 10, 2018HME News Staff

WASHINGTON - Complex rehab stakeholders seek signatures for a letter to CMS asking the agency not to apply a provision in the 21st Century Cures Act to complex rehab technology. Stakeholders are collecting signatures for the letter*, spearheaded by Reps. Bill Johnson, R-Ohio, and Robert Latta, R-Ohio, until May 17. A provision in the Cures Act requires CMS to limit federal contributions to Medicaid reimbursement to competitive bidding-influenced Medicare reimbursement. Stakeholders argue that,...

Complex Rehab, Cures Act, Sign-On Letter


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AAHomecare tallies impact of Cures provision

May 4, 2018HME News Staff

WASHINGTON - The Medicaid programs of 11 states have indicated that they will be changing their fee schedules to match Medicare's, AAHomecare reports.Twelve states say they will not be changing their fee schedules at this time, and 10 states say they are still analyzing data with AAHomecare and/or CMS.“It's gratifying to work alongside so many dedicated individuals across the country to encourage state Medicaid officials to take a careful look at their options for complying with the Cures Medicaid...

competitive bidding, Cures Act, Medicaid reimbursement


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Tenacity pays off in 10 states, and counting

March 19, 2018HME News Staff

In December 2016, Congress passed wide-ranging healthcare legislation popularly known as the Cures bill that expedited the implementation of a requirement that the federal portion of Medicaid reimbursement to states for HME cannot exceed what Medicare would have allowed for these items, in aggregate, beginning on Jan. 1, 2018. CMS provided its first update to Medicaid directors via a webinar in December, but it failed to include information needed for states to understand how to implement the new...

Cures Act, Laura Williard, Medicaid, reimbursement cuts


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In brief: Sign-on letter calls for 'immediate action,' Georgia Medicaid reverses course

March 2, 2018HME News Staff

WASHINGTON - More than 50 lawmakers signed on to a letter spearheaded by Cathy McMorris Rodgers, R-Wash., that calls on lawmakers to include H.R. 4229 in upcoming legislation to keep the government funded.“This letter will enhance our prospects to include HME provisions in the coming legislation due March 23, and show strong support of Rep. Cathy McMorris Rodgers' efforts on our behalf,” AAHomecare stated in a recent bulletin to members. “Our Hill sources have indicated that provisions...

bid relief, Cures Act, Medicaid reimbursement


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Cures update: Georgia Medicaid reverses course

March 1, 2018HME News Staff

ATLANTA - HME industry stakeholders have succeeded in steering Georgia away from basing its Medicaid reimbursement on competitive bidding-based Medicare reimbursement, AAHomecare reported this week.Initially, the Georgia Department of Community Health indicated that it would just adopt Medicare reimbursement, because an aggregate pricing approach would create a $10 million shortfall. But after the Georgia Association for Medical Equipment Suppliers intervened and provided further analysis, the agency...

Cures Act, Medicaid, Reimbursement


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CMS updates code list for Cures provision

February 20, 2018HME News Staff

WASHINGTON - AAHomecare has received an updated list of HCPCS codes that are affected by a provision in the 21st Century Cures Act that requires the federal government to limit its portion of Medicaid reimbursement to Medicare reimbursement. The association says 244 codes are now subject to the provision, with 13 codes removed and five codes added based on their Medicare spend in the 2017 calendar year. The five codes added are commode chair electric (E0170), enclosed pediatric crib hospital grade...

Cures Act, Medicaid reimbursement


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CMS eases pressure on states, AAH says

January 5, 2018HME News Staff

WASHINGTON - CMS has given state Medicaid directors more “open-ended guidance” for complying with a provision in the 21st Century Cures Act, AAHomecare reported Jan. 5.In a Jan. 4 letter, CMS states: "States electing to submit an aggregate payment comparison, or an alternative approach to compliance as mentioned earlier in this letter, will work with CMS to determine the best approach to calculate the FFP limit for their state using expenditures for the period of January 1, 2018, through...

Cures Act, Medicaid, reimbursement cuts


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CMS starts implementation process for Cures provision

November 28, 2017HME News Staff

WASHINGTON - CMS wants state Medicaid programs to submit their DME fee schedules using a new spreadsheet to make sure they're not paying too much for equipment, according to a notice in the Federal Register.CMS says the spreadsheet will help the agency comply with a provision in the 21st Century Cures Act that requires it to cap Medicaid reimbursement for DME at Medicare reimbursement starting Jan. 1, 2018.“We would require the minimal amount of information be collected from states to comply...

Cures Act, Medicaid, Reimbursement


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