Programs
Regulatory Updates
Total of 163 Records Returned
State: All
Hospice – Update to hospice payment rates, hospice cap, Hospice wage index and hospice pricer for FY 2020
Date Proposed : 08/16/2019
Date Effective : 10/1/2019
Program: Hospice
This MLN Matters Article is intended for physicians and providers submitting claims to Medicare Administrative Contractors (MACs), including Home Health & Hospice (HH&H) MACs, for hospice services provided to Medicare beneficiaries. Change Request (CR) 11411 updates the hospice payment rates, hospice wage index, and Pricer for Fiscal Year (FY) 2020. CR 11411 also updates the FY 2020 hospice aggregate cap amount. Make sure that your billing staffs are aware of these changes.
Read MoreState: Maryland
Maryland – Home Health Orders for Nurse Practitioners under the Maryland TCOC Model CR11330
Date Proposed : 10/14/2019
Date Effective : 01/1/2020
Program: Home Health
CR 11330 will enable all Medicare-enrolled nurse practitioners in Maryland to certify home health services for Medicare beneficiaries as part of the Maryland Total Cost of Care (TCOC) Model. This will apply to services that the nurse practitioners provide on and after January 1, 2020. Medicare systems will be operational to process claims with dates of service on or after January 1, 2020, at the beginning of the second year of the Maryland TCOC Model. Make sure your billing staffs are aware of these changes.
Read MoreState: All
Medicare Part B Home Infusion Therapy Services With The Use of Durable Medical Equipment
Date Proposed : 12/10/2019
Program: Behavioral Health, Durable Medical Equipment, Prosthetics, Orthotics, and Supplies, Home Infusion Therapy, Private Duty
This special MLN Matters® Article is intended for entities seeking accreditation to become qualified suppliers that furnish home infusion therapy (HIT) services in coordination with the furnishing of home infusion drugs administered through an item of durable medical equipment (DME) beginning in calendar year 2021 and in subsequent years.
Read MoreState: Florida
Florida – Human Trafficking Sign posting requirements
Date Proposed : 01/1/2021
Program: Home Health, Hospice, Pharmacy, Private Duty, Sleep
Each health care practitioner licensed by one of the named Boards in section 456.0341, Florida Statutes, must post a sign regarding human trafficking in a conspicuous place accessible to employees by January 1, 2021. The sign must be at least 11 X 15 inches and in at least 32-point type. The sign must contain statutorily required language and be posted in English and Spanish. The Department of Health has also provided Mandarin and Creole translations of these signs for use in offices where those languages are spoken. This effects Occupational Therapist, Physical Therapist, Respiratory Therapist, Registered Dietitian, Pharmacist.
Read MoreState: West Virginia
WV – Licenses of Behavioral Health Centers Amended
Date Proposed : 03/25/2020
Program: Behavioral Health
House Bill 4557
Be it enacted by the Legislature of West Virginia:
ARTICLE 9. LICENSING OF BEHAVIORAL HEALTH CENTERS.
§27-9-1. License from Secretary of Health and Human Resources; regulations.
No behavioral health center shall provide behavioral health services unless a license is first obtained from the Secretary of the Department of Health and Human Resources. The secretary shall propose rules for legislative approval in accordance with the provisions of §29A-3-1 et seq., in regard to the operation of behavioral health centers. The secretary, or any person authorized by the secretary, has authority to investigate and inspect any licensed behavioral health center. The secretary may impose a civil money penalty, suspend, or revoke the license of any center for good cause after reasonable notice, including due process rights as provided in legislative rule.
ARTICLE 17. GROUP RESIDENTIAL FACILITIES.
§27-17-3. License from Secretary of Health and Human Resources; regulations; and penalties.
(a) No group residential facility shall be established or operated unless a license is obtained from the Secretary of the Department of Health and Human Resources. The secretary shall propose rules for legislative approval in accordance with the provisions of §29A-3-1 et seq., including the operation of the group residential facility; a statement of the rights of patients in group residential facilities to ensure the adequate care and supervision of patients; and shall have the authority to investigate and inspect a facility, and may impose a civil money penalty, suspend or revoke the license for good cause after notice, hearing, and other due process rights as provided by legislative rule.
(b) A group residential home is not required to obtain a license from the secretary.
State: All
The Advance Beneficiary Notice of Noncoverage (ABN), Form CMS-R-131, has been updated
Date Proposed : 09/4/2021
Program: Durable Medical Equipment, Prosthetics, Orthotics, and Supplies, Home Health, Hospice, Pharmacy, Sleep
The ABN, Form CMS-R-131, and form instructions have been approved by the Office of Management and Budget (OMB) for renewal. The use of the renewed form with the expiration date of 06/30/2023 will be mandatory on 8/31/2020. Update - Due to COVID-19 concerns, CMS is going to expand the deadline for use of the renewed ABN, Form CMS-R-131 (exp. 6/30/2023). At this time, the renewed ABN will be mandatory for use on 1/1/2021. The renewed form may be implemented prior to the mandatory deadline.
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Accreditation Commission for Health Care, Inc.