Programs
Regulatory Updates
Total of 180 Records Returned
State: All
Surgical Dressings – Medicare Requirements
Date Posted : 02/24/2022
Program: Durable Medical Equipment, Prosthetics, Orthotics, and Supplies
Medicare covers primary or secondary surgical dressings:
- Used to protect or treat a wound
- If needed after debridement of a wound
State: All
DME – CMS expands access to home oxygen services
Date Posted : 02/10/2022
Date Effective : 09/27/2021
Program: Durable Medical Equipment, Prosthetics, Orthotics, and Supplies
The guidance, Change Request 12607, makes the following changes effective for claims with a date of service starting Sept. 27, 2021:
- Expansion of oxygen coverage for acute and chronic conditions (when hypoxemia exhibited).
- Expansion of oxygen coverage for short and long-term need (when hypoxemia exhibited).
- DME MACs may determine whether ordered oxygen and oxygen equipment are reasonable and necessary.
- Removal of Home Oxygen Use for Cluster Headache (240.2.2) and allowing DME MACs to make coverage determinations for patients with cluster headaches.
State: Oklahoma
OK – Private Duty Nursing
Date Proposed : 12/1/2021
Program: Private Duty
Amends rules to update how assessments for private duty nursing (PDN) services are conducted. Additional revisions will clarify who can sign the PDN treatment plan. Finally, revisions will update grammatical and formatting errors, as well as reorganization of the policy for better clarity and understanding. OK 20553 2022
Read MoreState: All
DMEPOS Standard Written Order Requirements
Program: Durable Medical Equipment, Prosthetics, Orthotics, and Supplies, Pharmacy
Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) suppliers—follow requirements for Standard Written Orders (SWOs):
- Keep a SWO from the treating practitioner on file
- Get the SWO before submitting a claim for all DMEPOS items
- Get the SWO before delivery for certain items
- Submit completed SWOs for all DMEPOS services billed if there is an audit
State: New Hampshire
New Hampshire – Mail Order or Nonresident Pharmacies Rule Update
Date Proposed : 04/6/2020
Date Adopted : 12/8/2021
Date Expired : 12/8/2022
Program: Pharmacy
The NH Board of Pharmacy amends rules relating to mail order pharmacies.
Read MoreState: All
Home Health & Hospice: Medicare Provider Resources
Date Expired : 11/30/2022
Program: Home Health, Hospice
Medicare covers a wide range of home health and hospice services. November, Home Care & Hospice Month, is a great time to get familiar with these resources:
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Accreditation Commission for Health Care, Inc.