Programs
Regulatory Updates
Total of 165 Records Returned
State: Florida
Florida Medicaid Changes to Diabetic Supply Services and DME Benefit
Date Effective : 10/1/2024
Program: Durable Medical Equipment, Prosthetics, Orthotics, and Supplies, Pharmacy
Changes to the Reimbursement of Diabetic Supplies:
- Effective October 1, 2024, diabetic supplies for all eligible Medicaid recipients will be available for reimbursement through the pharmacy benefit at the point-of-sale.
- Previously, these supplies were only available through the Durable Medical Equipment and Medical Supplies (DME) benefit.
- To ensure continuity of care and enable recipients to receive the proper authorizations to transfer their diabetic supplies to the pharmacy benefit, reimbursement through the DME benefit will continue to be available until January 1, 2025.
- Effective January 1, 2025, almost all products available through the pharmacy benefit will no longer be reimbursed through the DME benefit. Please refer to the DME fee schedule, effective January 1, 2025, for products that may continue to be reimbursed through the DME benefit.
State: All
DMEPOS: Adding New Product Categories to CMS-855S Enrollment Form on October 26
Date Posted : 10/3/2024
Date Effective : 10/26/2024
Program: Durable Medical Equipment, Prosthetics, Orthotics, and Supplies, Pharmacy
On October 26, 2024, CMS will include these new product categories on the electronic CMS-855S DMEPOS Enrollment Form:
- Cognitive behavioral therapy devices
- Rehabilitative therapy devices
- Urinary suction pumps
- External electrical stimulation devices (not otherwise classified)
- Report the products in Section 2 if you submit an online application using PECOS.
- Submit a letter with your paper application stating that you want to supply these products. We’re working on updating this application.
State: All
CMS: Introducing the Hospice Outcomes & Patient Evaluation (HOPE) Tool
Program: Hospice
CMS has released web-based training on the new Hospice Outcomes and Patient Evaluation (HOPE) tool. While the HOPE tool will not be utilized until 2025, agencies should begin learning about the HOPE tool and preparing for the transition from HIS to HOPE data collection and reporting.
Read MoreState: Florida
Florida: Home Health Aide for Medically Fragile Children Annual Assessment Due Nov 1
Program: Home Care, Home Health
Florida statutes require that AHCA conducts an annual assessment of the home health aide for medically fragile children program. Applicable agencies, providing skilled services to children under the age of 21, are required to complete an agency utilization assessment and report data to AHCA. The assessment can be completed online. This assessment must be submitted to AHCA no later than November 1, 2024.
Read MoreState: Texas
DMEPOS – CMS Disaster Resources for due to Hurricanes in FL, GA, LA, and SC.
Date Posted : 09/12/2024
Program: Durable Medical Equipment, Prosthetics, Orthotics, and Supplies, Pharmacy
2024 Hurricane Francine – Key Information for Louisiana On September 12, 2024, Health Secretary Xavier Becerra declared a Public Health Emergency in Louisiana starting from September 10, 2024, because of Hurricane Francine. Hurricane Debby – Information for Florida, Georgia, and South Carolina On August 6, 2024, Department of Health and Human Services Secretary Xavier Becerra declared a Public Health Emergency in Florida since August 1, 2024 due to Hurricane Debby. On August 7, 2024, Department of Health and Human Services Secretary Xavier Becerra declared a Public Health Emergency in Georgia and South Carolina since August 4, 2024 due to Hurricane Debby. Hurricane Beryl – Information for Texas On July 12, 2024, Department of Health and Human Services Secretary Xavier Becerra declared a Public Health Emergency in multiple counties in the state of Texas due to Hurricane Beryl.
Read MoreState: Tennessee
Public Emergency for the States of Florida, Georgia, North Carolina, South Carolina, and Tennessee response to Hurricane Helene
Date Posted : 09/23/2024
Program: Acute Care Hospital, Ambulatory Surgical Centers (ASC), Clinical Laboratory, Durable Medical Equipment, Prosthetics, Orthotics, and Supplies, Home Health, Home Infusion Therapy, Hospice, Renal Dialysis
President Joseph R. Biden, Jr. has declared that an emergency exists in the states of FL, GA, NC, SC, and TN Secretary Xavier Becerra has declared a public health emergency to address health impacts resulting from Hurricane Helene. Waiver or modification of requirements under section 1135 of the Social Security Ace as a result of Hurricane Helene.
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