Regulatory Updates

State: Georgia

Date Proposed : 09/6/2022

Date Effective : 06/9/2023

Date Adopted : 05/20/2023

Program: Pharmacy

Removed references to pharmacy benefits managers, which are no longer licensed by the Georgia Board of Pharmacy. Eliminated the provision that caused a pharmacy's change in location to void its license, as the Board determined that there is no basis to void a license solely because a pharmacy has changed locations, and it imposes substantial cost and inconvenience on licensees without significant regulatory benefit. Clarified how changes in ownership and changes in location should be accomplished.

State: All

Date Posted : 06/15/2023

Date Effective : 07/1/2023

Program: Acute Care Hospital

Hospital outpatient prospective payment system: updated July 2023

State: All

Date Posted : 06/15/2023

Date Effective : 07/1/2023

Program: Ambulatory Surgical Centers (ASC)

Ambulatory Surgical Center Payment System updated July 2023

State: All

Date Posted : 05/25/2023

Date Effective : 01/1/2024

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

All DMEPOS Competitive Bidding Program (CBP) Round 2021 contracts for off-the-shelf (OTS) back and knee braces will expire on December 31, 2023. Starting January 1, 2024, there will be a temporary gap period for the DMEPOS CBP.

State: All

Date Posted : 05/4/2023

Date Effective : 04/1/2023

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

CMS released an update to the coverage criteria for oxygen and oxygen equipment. This presentation reviews the testing, coding, and billing guidelines.

State: All

Date Posted : 01/19/2023

Program: Acute Care Hospital, Ambulatory Surgical Centers (ASC), Critical Care Hospital, Home Health, Hospice, Renal Dialysis

Quality in Focus: CMS developed a series of short (10–15 minutes), Quality in Focus interactive videos tailored for specific provider types. The series aims to increase the quality of care for people with Medicare and Medicaid by reducing the deficiencies most commonly cited during the CMS survey process, such as infection control and accident prevention.