Regulatory Updates

State: All

Date Effective : 01/1/2025

Program: Durable Medical Equipment, Prosthetics, Orthotics, and Supplies

Revision Effective Date: 01/01/2024 REPLACEMENT Added: "oxygen equipment" to the statement regarding items Medicare will replace in cases of loss or irreparable damage Removed: “oxygen equipment” from the statement regarding replacement items Medicare does not cover

State: All

Date Effective : 01/1/2025

Program: Home Health

Reminder to Home Health providers that OASIS E1 was effective January 1, 2025.  CMS has provided resources for providers, including the OASIS-E! user manual and changes from the May 2024 draft to the final manual released in December 2024.

State: All

Program: Home Health

CMS released a Q&A for Home Health providers regarding the collection and submission of OASIS for all payer types set to begin July 1, 2025.  Effective January 1, 2025, the OASIS privacy notice should be provided to any patient for which the home health agency has collected data via the OASIS (link provided to forms in this document).

State: All

Program: Renal Dialysis

CMS has published information on their website regarding the Increasing Organ Transplant Access (IOTA) model including hospitals chosen to participate in the model.

State: All

Date Posted : 12/30/2024

Program: Durable Medical Equipment, Prosthetics, Orthotics, and Supplies

Medicare provides coverage for Durable Medical Equipment (DME) to help beneficiaries with specific healthcare needs. A crucial aspect of DME coverage is the concept of "replacement".

State: Texas

Date Effective : 01/6/2025

Program: Durable Medical Equipment, Prosthetics, Orthotics, and Supplies, Pharmacy

Big changes are coming on January 6, 2025, for our Licensed Prosthetist/Orthotist licensees when it comes to reporting continuing education (CE) requirements: TDLR will no longer confirm your CE credits BEFORE you renew your license. Instead, you could be selected for a random audit of your hours once you've renewed, so be sure to keep your records current. Previously, failure to complete continuing education would prevent your license from renewing.  Going forward, failure to complete continuing education may result in an administrative penalty. We're excited to make a change that will help us issue your license faster!