Programs
Regulatory Updates
Total of 165 Records Returned
State: All
Home Infusion Therapy – 2025 CMS Billing and Rates Information
Date Posted : 11/4/2024
Program: Home Infusion Therapy, Pharmacy
Home infusion therapy involves the intravenous or subcutaneous administration of drugs or biologicals to an individual at home. The Geographic Adjustment Factors (GAFs) standardization factors, which are calculated to ensure that GAF updates are implemented in a budget neutral manner, are displayed on the CMS website. The CY 2024 national and geographically adjusted HIT payment rates were updated to reflect the changes to the GAF standardization factor.
Read MoreState: Alabama
Alabama – Durable Medical Equipment sales tax exemption
Date Proposed : 08/30/2024
Date Effective : 09/1/2024
Date Adopted : 10/21/2024
Program: Durable Medical Equipment, Prosthetics, Orthotics, and Supplies, Pharmacy
This regulation provides guidance on the requirement of a sales tax certificate of exemption related to durable medical equipment purchases beginning September 1, 2024. Effective August 1, 2014, any item used for the treatment of illness or injury or to replace all or part of a limb or internal body part purchased by or on behalf of an individual pursuant to a valid prescription and covered by and billed to Medicare, Medicaid, or a health benefit plan shall be exempt from state, county, and municipal sales, use, rental and leasing taxes. Effective September 1, 2024, any healthcare provider claiming an exemption shall obtain and maintain a certificate of exemption from the department in accordance with the provisions of Section 40-9-60, prior to the purchase and shall provide the certificate to the seller at the time of purchase. Any purchase made on or after September 1, 2024, shall be subject to tax, unless the healthcare provider provides the certificate to the seller at the time of purchase.
Read MoreState: California
California Assembly Bill 177 Extends Hospice Licensure Moratorium
Date Adopted : 09/30/2024
Program: Hospice
On September 30, 2024, California Assembly Bill 177 was chaptered. This bill extends the deadline, from January 1, 2025, to January 1, 2026, for the Department to adopt emergency regulations related to Hospice. This extension also extends the Hospice licensure moratorium until January 1, 2027, or one year after the date the emergency regulations are adopted. The emergency regulations the Department are to implement include establishing requirements for office space, staffing ratios, management personnel, and geographical service areas.
Read MoreState: California
California All Facilities Letter 24-24 IV Solution Shortage
Program:
On October 9, 2024, CDPH published an All Facilities Letter (AFL-24-24) notifying all facilities of an intravenous solution shortage due to Hurricane Helene. Affected providers are encouraged to review this letter for CDPH recommendations and product management and conservation actions.
Read MoreState: All
Letter to Health Care Leaders and Stakeholders on Impacts of Hurricane Helene from Secretary Becerra
Date Posted : 10/9/2024
Program: Acute Care Hospital, Ambulatory Surgical Centers (ASC), Critical Care Hospital, Home Infusion Therapy, Pharmacy
Dear Partner, Thank you for your work on behalf of individuals and communities around this country every day. As the U.S. Department of Health and Human Services (HHS) continues responding to the impacts of Hurricane Helene, I want to first acknowledge the loss of life and continued search and rescue mission underway in the Southeast. HHS has over 400 personnel on the ground, and that number continues to grow. In addition to our responders supporting the impacted communities, I want to assure you that the Department is working tirelessly to mitigate the sterile solutions supply chain disruptions you may already be experiencing as a result of the storm
Read MoreState: Florida
Florida – Hurricane Milton- Key Medicaid Information for Fee for Service and Managed Care Providers
Date Effective : 10/7/2024
Program: Acute Care Hospital, Durable Medical Equipment, Prosthetics, Orthotics, and Supplies, Home Health, Renal Dialysis
Provider Type(s): ALL Hurricane Milton - Key Medicaid Information for Fee-for-Service and Managed Care Providers Florida Medicaid recipients maintaining access to critical Medicaid services (e.g., durable medical equipment and supplies, home health services, hospital services, nursing facility services, chemotherapy, dialysis services, etc.) is imperative during the State of Emergency related to Hurricane Storm Milton. To this end, the Agency will ensure reimbursement for critical Medicaid services provided in good faith to eligible recipients who reside in the counties impacted by the storm. Please continue providing services:
- The Agency will waive all prior authorization requirements for critical Medicaid services beginning October 7, 2024, until further notice.
- Early prescription refill edits have been lifted for all maintenance medications (Note: This does not apply to controlled substances).
- If a recipient requires critical Medicaid services beyond the limits stated in policy to maintain safety and health, providers can furnish the service.
- Preadmission Screening and Resident Review (PASRR) processes are postponed until further notice by the Agency.
- Retroactively performed screenings or resident reviews must document the reason for delay in the completion of PASRR requirements.
- The Agency is waiving the PASRR process for recipients who evacuated due to an evacuation order or power outage and are admitted and discharged during the storm.
- Transportation vendors should continue providing services to all Medicaid enrollees as long as they are able.
Accreditation Commission for Health Care, Inc.