Programs
Regulatory Updates
Total of 165 Records Returned
State: All
Updated Notice of Medicare Non-Coverage (NOMNC) and Detailed Explanation of Non-Coverage (DENC) Effective January 1, 2025
Date Effective : 01/1/2025
Program:
The Office of Management and Budget has renewed the Notice of Medicare Non-Coverage (NOMNC, CMS-10123), and the Detailed Explanation of Non-Coverage (DENC, CMS-10124). These forms contain updates related to Medicare Advantage enrollees. Current forms should be used through the end of the year. Read further for updated forms and form instructions.
Read MoreState: Texas
Texas HHSC Rescinds PL 2024-20 Requirements for Tuberculosis Screening and Testing
Date Effective : 11/1/2024
Program: Home Care, Home Health, Home Infusion Therapy, Hospice
On November 1, 2024, Texas HHSC rescinded Provider Letter 2024-20 Requirement for Tuberculosis Screening and Testing. During the interim, providers are to follow agency procedures regarding communicable diseases, infection control, and TB testing/screening. Texas HHSC recommends agencies utilize resources from the CDC and Texas Department of State Health Services to inform the agency's policies and procedures (links provided).
Read MoreState: All
Third Temporary Extension of COVID-19 Telemedicine Flexibilities for Prescription of Controlled Medications
Date Posted : 11/19/2024
Program:
On November 19, 2024, a rule was published by the Drug Enforcement Agency and the Health and Human Services Department that extends the COVID-19 telehealth flexibility for the prescription of controlled medications. This flexibility was set to end this year, but has been extended until December 31, 2025, to allow the DEA and HHS to continue work on final regulations.
Read MoreState: All
Calendar Year 2025 End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) Final Rule
Date Posted : 11/1/2024
Program: Renal Dialysis
On November 1, 2024, CMS released a fact sheet for the CY 2025 ESRD Final Rule. This ESRD final rule provides updates to the ESRD Prospective Payment System, including the expanded coverage of home dialysis for beneficiaries with AKI, the ESRD Quality Incentive Program, and the ESRD Treatment Choices Model. The fact sheet, as well as a link to the final rule in the federal register, can be accessed here.
Read MoreState: All
Calendar Year (CY) 2025 Home Health Prospective Payment System Final Rule Fact Sheet
Date Posted : 11/1/2024
Program: Home Health
On November 1, 2024, CMS released a fact sheet for the CY 2025 Home Health Final Rule. This Home Health final rule provides updates to the HH Prospective Payment System, HH Conditions of Participation, HH Quality Reporting Program, HH Value-Based Purchasing Model, and IVIG payment rates, as well as an update in Medicare Provider Enrollment expanding a Provisional Period of Enhanced Oversight to include providers and supplier reactivating their Medicare billing privileges. The fact sheet, as well as a link to the final rule in the federal register, can be accessed here.
Read MoreState: All
CMS Home Health and Hospice Resources November 2024
Date Posted : 11/14/2024
Program: Home Health, Hospice
Medicare covers a wide range of home health and hospice services. During Home Care & Hospice Month, get familiar with these Medicare Learning Network resources.
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