PA: Community HealthChoices MCOs

CHC was developed for Pennsylvanians who are eligible for Medicare and Medicaid, or eligible for Medicaid-funded LTSS. This new initiative is a managed care program by the departments of Human Services (DHS) and Aging (PDA) to: (1) enhance access to and improve coordination of physical health care and; (2) create a person-driven, long-term support system Read more about PA: Community HealthChoices MCOs[…]

CMS Proposes Six-Month Delay for Home Health CoPs

The Centers for Medicare & Medicaid Services (CMS) has proposed delaying the implementation date for the new home health Conditions of Participation (CoPs) until January 2018. The proposal comes after home health industry associations and providers pushed back against the original implementation timeline for the CoPs, which were finalized in early January 2017. Instead of Read more about CMS Proposes Six-Month Delay for Home Health CoPs[…]

Survey: Mail-order program reduces access

Medicare’s national mail-order program for diabetes testing supplies has sharply reduced beneficiary access, says a new survey from the America Association of Diabetes Educators. The “secret shopper” survey found that: The number of manufacturers making diabetes testing supplies available under the mail-order program has fallen 50% since the program started; The number of diabetes testing Read more about Survey: Mail-order program reduces access[…]

HME News: CMS eases requirements for changing providers

WASHINGTON – CMS has instructed the DME MACs to accept timely orders and medical documentation whether they come from a beneficiary’s treating physician or a transferring HME provider. The change is a big deal for providers in competitive bidding areas, where transfers of beneficiaries from non-contract to contract providers are common. “Industry (has) suggested that Read more about HME News: CMS eases requirements for changing providers[…]

PAMS: Office of Long-Term Living (OLTL) Service Coordinators and Providers Mandatory Protective Services Training

OLTL Service Coordinators and Direct Service Providers are required to participate in trainings mandated by OLTL.  As entities providing services and supports to Home and Community-Based Services waiver participants, protecting the health and welfare of participants is your responsibility. In addition, you are required by two state laws to report suspected abuse, neglect, exploitation or Read more about PAMS: Office of Long-Term Living (OLTL) Service Coordinators and Providers Mandatory Protective Services Training[…]

HME News: Philips buys Australian pharmacy sleep services provider

Royal Philips has signed an agreement to buy Australian Pharmacy Sleep Services, in a move that the company says will accelerate its home sleep testing offering through the pharmacy channel in Australia. “With the addition of APSS to our sleep and respiratory care business in Australia, Philips will be able to provide better access to Read more about HME News: Philips buys Australian pharmacy sleep services provider[…]

AAHomecare: Registration is Now Open for the Washington Legislative Conference 2017

Each year the HME community comes together in Washington, D.C. to advocate and strengthen relationships in Congress. It is a critical gathering, made stronger by greater numbers of participants demonstrating how important our relatively small share of the Medicare budget is to the entire healthcare continuum. While we made progress in 2016 convincing more members Read more about AAHomecare: Registration is Now Open for the Washington Legislative Conference 2017[…]

RAC Integration for Medicare Advantage Audits

Section 6411(b) of the Patient Protection and Affordable Care Act of 2010 (PPACA) requires the expansion of the Recovery Audit Contractor (RAC) program to Medicare Part C. While we may refer to either MA as Medicare Advantage (or a more accurate acronym, MAO, for Medicare Advantage Organizations), the simple fact is that the RACs (or Read more about RAC Integration for Medicare Advantage Audits[…]