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Tag: Public Health Emergency


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In brief: PHE ends, CMS audits Medicare Advantage, CQRC calls for safeguards 

February 3, 2023HME News Staff

WASHINGTON – President Joe Biden has announced that the public health emergency will end on May 11, 2023.  Under the last declaration in January, the PHE was set to end on April 11.  “The advance notice goes beyond HHS Secretary Xavier Becerra’s previous guidance to health care stakeholders that the agency would provide at least 60 days advance notice before ending the PHE,” AAHomecare noted in a bulletin.  Knowing when the PHE will end gives industry...

Audits, Council for Quality Respiratory Care, Home oxygen therapy, Medicare Advantage, Public Health Emergency


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PHE will end in May 

January 31, 2023HME News Staff

WASHINGTON – President Joe Biden has announced that the public health emergency will end on May 11, 2023.  Under the last declaration in January, the PHE was set to end on April 11.  “The advance notice goes beyond HHS Secretary Xavier Becerra’s previous guidance to health care stakeholders that the agency would provide at least 60 days advance notice before ending the PHE,” AAHomecare noted in a bulletin.  Knowing when the PHE will end gives industry...

Public Health Emergency


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PHE extended through April 11

January 12, 2023HME News Staff

WASHINGTON – Health and Human Services Secretary Xavier Becerra has extended the public health emergency for an additional 90-day period through April 11, 2023. While the PHE remains in effect, the 75/25 blended rate in non-rural/non-competitive bid areas will remain in effect, along with other policies tied to the status of the PHE. Those other policies include providing flexibility to expand the use of home-based respiratory products and continuous glucose monitors; implementing waivers of...

Public Health Emergency, Xavier Becerra


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CMS clarifies audit plans

November 11, 2022HME News Staff

WASHINGTON – CMS plans to primarily focus MAC, RAC and SMRC medical reviews on claims with dates of service outside of the public health emergency, the agency stated in a recent clarification.  CMS stated:  “During the PHE, flexibilities were applied across claim types. For certain DME items, this included the non-enforcement of clinical indications for coverage. Since clinical indications for coverage were not enforced for certain DME items provided during the PHE, once...

Audits, Public Health Emergency


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CMS seeks input on emergency preparedness

August 31, 2022HME News Staff

WASHINGTON – CMS will host a virtual listening session with health care providers on Sept. 13 to gather information on their experiences during public health emergencies outside of the COVID-19 pandemic. Topics of discussion will include What have been your facility's experiences in developing and implementing emergency preparedness plans under the CMS regulations, and do the current CMS emergency preparedness regulations create any unintended barriers in your work? This session is the...

Home health, Medicare, Public Health Emergency


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CMS clarifies oxygen requirements 

June 6, 2022HME News Staff

WASHINGTON – CMS has posted a joint DME MAC publication clarifying that certificates of medical necessity are not required for oxygen claims during the public health emergency.  The publication also clarifies that DME Information Forms are not required for external infusion pumps during the PHE.  “CMS-1744-IFC (an interim final rule issued April 6, 2020) stated that CMS would exercise enforcement discretion for clinical indications of coverage for the oxygen NCDs...

Certificate of Medical Necessity, Oxygen, Public Health Emergency


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HHS extends PHE till July 16

April 14, 2022HME News Staff

WASHINGTON – The Department of Health and Human Services has extended the public health emergency for another 90 days, until July 16, 2022. There are a number of HME-related provisions that are tied to the PHE, including Medicare’s 75/25 blended reimbursement rates for non-rural, non-competitive bidding areas, and waivers of certain telehealth restrictions and other waivers and policy changes. The PHE was initially declared on Jan. 27, 2020.   

Home Medical Equipment, Public Health Emergency


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HHS extends PHE into April 

January 17, 2022HME News Staff

WASHINGTON – The U.S. Department of Health and Human Services has extended the current public health emergency for another 90 days, effective Jan. 16. There are a number of HME-related provisions that are tied to the PHE, including Medicare’s 75/25 blended reimbursement rates for non-rural, non-competitive bidding areas, and waivers of certain telehealth restrictions and other waivers and policy changes. The PHE was initially declared on Jan. 27, 2020.  

Public Health Emergency


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RESNA to consider ATP recert exceptions

November 3, 2021HME News Staff

ARLINGTON, Va. – Certified assistive technology professionals that were unable to fulfill the work experience requirement for re-certification as a result of the ongoing public health emergency and are scheduled to be recertified between Sept. 1, 2021 – April 1, 2022, may apply for an exception from the RESNA Professional Standards Board, which will make decisions on a case-by-case basis. ATPs can submit their recertification application (RESNA Recert Application 2021.pdf) as soon as...

ATP, Public Health Emergency, RESNA


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HHS extends PHE

October 18, 2021HME News Staff

WASHINGTON – Xavier Becerra, the secretary of the Department of Health and Human Services, has extended the COVID-19 public health emergency for another 90 days from Oct. 18. There are a number of HME-related provisions tied to the PHE, including Medicare’s 75/25 blended rates for non-rural, non-competitive bidding areas, and telehealth and other policy waivers. Becerra will next consider an extension in January 2022.  

COVID-19 Pandemic, Public Health Emergency


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