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Tag: Medicaid reimbursement


News

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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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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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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Cures Act update: Deadline looms for Medicaid

December 28, 2017HME News Staff

WASHINGTON - CMS finally sent a letter to state Medicaid directors on Dec. 27 with guidance on a DME-related provision in the 21st Century Cures Act, just three business days before implementation.The six-page letter provides an outline of the provision, which requires CMS to cap its contribution to Medicaid reimbursement for certain DME at Medicare reimbursement starting Jan. 1; describes the options available to states to demonstrate compliance; and offers technical information to facilitate their...

competitive bidding, Cures provision, Medicaid reimbursement


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Senators in Minnesota seek to soften blow of upcoming Medicaid cut

February 28, 2017HME News Staff

SAINT PAUL, Minn. - Two senators in the Minnesota state legislature have introduced a bill to address a provision in the 21st Century Cures Act that would limit the federal portion of Medicaid reimbursement for HME to competitive bidding-influenced Medicare reimbursement starting in 2018. The bill, introduced by Sens. Jim Abeler and Greg Clausen and still in draft form, reads: “Effective for services provided on or after January 1, 2018, the commissioner shall make supplemental payments to...

competitive bidding, Cures Act, Medicaid reimbursement


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Stakeholders home in on Medicaid strategy

January 20, 2017Liz Beaulieu, Editor

WASHINTON - A directive from Congress to tie Medicaid reimbursement to Medicare reimbursement will be a tough pill to swallow for not only HME providers but also states, industry stakeholders say.A “pay for” in the 21st Century Cures Act stipulates that the federal government's share of Medicaid reimbursement to states for DME be limited to Medicare payment rates, rates that have been decimated by subsequent rounds of competitive bidding.“The states and the DME providers are in...

aahomecare, Medicaid reimbursement


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