Funding


MassHealth Implementing 10% Rate Increase for DME Claims

Funding comes after HOMES and AAHomecare push Massachusetts to provide relief via the American Rescue Plan Act and sets the stage to notify Medicaid officials in other states.

Bill to Nix MCO Self-Referrals Launched in Pennsylvania

HME providers and stakeholders in the state are encouraged to contact their State Representatives in support of H.B. 1726.

Burr, Bennet Launch Wound Care Legislation

Bill aims to update CMS payment rules to add disposable NPWT devices to product options for at-home wound care and standardize payment method for NPWT devices.

Podcast

HME's Legislative, Regulatory and Payer Relations Priorities

The AAHomecare Update at this week's Medtrade Spring offered a winder range of updates. Staff share their top-line priorities from that update, such as increasing SPA rates, extending relief, CMS's proposed O2 NCD and the American Rescue Plan.

AAHomecare Update: Leveraging HME’s Value

A central theme at Medtrade’s Wednesday AAHomecare Update will be how the industry can make the most of the value to U.S. healthcare it demonstrated during COVID.

Proposed O2 Changes Include Industry Input

CMS’s proposed changes to oxygen National Coverage Determination incorporate many recommendations made by AAHomecare.

AAHomecare, ACMESA Protect N.C. Medicaid MCO Rates

The rate protections shore up legislative protections and will prevent an estimated $22 million in potential cuts to Medicaid MCO reimbursement for HME in North Carolina on an annual basis

Noridian Releases FAQs for Devices Under Philips Recall

Documents for DME MAC Jurisdictions A and D provide direction on coverage and billing impacts for devices falling under the Philips PE-PUR foam recall.

CMS Extends Rate Protections for Manual CRT Accessories

After the industry pushed to back a Congressional sign-on letter to CMS, the agency will delay applying competitive bidding-derived rates to the accessories for another 90 days.

David Kopf

Editor's Note

The HME Industry's Back, Baby!

After months of lockdown, HME events and advocacy return with renewed vigor and energy.



Louisiana Senate Upvotes Ventilator Protections

A unanimous vote approves legislation that prevents insurers, MCOs and other payers from capping reimbursement for ventilators.

Oklahoma Supreme Court Puts Brakes on MCO Plan

State’s top court rules the state’s Oklahoma Health Care Authority cannot implement managed care for its Medicaid program.

MACs’ Post-payment Review Broadened

MACs may now conduct post-payment medical reviews of items and services with dates of service after March 2020.

NCART Pushes to Extend Telehealth for CRT

Association calls on CRT stakeholders to advocate on behalf of a bill that would expand telehealth access, as well as to complete a survey on examples of telehealth in CRT.

FAHCS, ACMESA Open Registration for Summer Meetings

The Florida event will run Aug. 5-6 in Orlando, and the North Carolina event will be held Aug. 18-19 in Wrightsville Beach.

AAHomecare Prioritizes Extending Rural and Non-CBA Relief

The CARES Act’s reimbursement provisions helped rural suppliers and those in other non-bid areas, but they expired when the COVID-19 public health emergency ends.

CMS Releases More Details on Round 2021 Bids

Analysis from AAHomecare shows a large portion of the bids were for the 13 removed categories and came from first-time bidders.

VGM Govt. Relations: Engage Lawmakers at Townhalls

Members of the House will be in districts until June 14, giving HME stakeholders an opportunity to advocate during Representatives’ constituent meetings.

Louisiana House Passes Ventilator Protections

Legislation preventing insurers, MCOs and other payers from capping reimbursement for ventilators moves to Senate.

Podcast

The Rise of the Value-Based HME

As the industry rounds the bend out of COVID, HME providers can expect more patient demand and a broader set of needs from their clients and referral partners. Are they ready?

avoiding common site survey pitfalls