Regulatory Updates

State: Texas

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.

State: Tennessee

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.  

State: All

Date Posted : 09/19/2024

Program: Hospice

CMS updated the Hospice Certifying Physician Enrollment Q&A document.  The most current version of this document is dated September 19, 2024.  Hospice providers are encouraged to review this document to ensure compliance with CMS requirements.

State: Florida

Date Effective : 10/1/2024

Program: Home Care, Private Duty

AHCA has released the finalized Medicaid Private Duty Nursing and Family Home Health Aide Services Coverage policy update.  Updates to the policy include terminology changes, eligibility & coverage requirements, documentation requirements, and reimbursement updates.

State: Texas

Program: Hospice

CMS has issued and MLN fact sheet related to expanded prepayment review and related activities for existing hospice providers in Arizona, California, Nevada, & Texas.

State: All

Program: Hospice

CMS has updated MLN Matters Number MM13531.  This MLN assists providers in understanding edits on hospice claims related to Hospice Certifying Physician Medicare Enrollment requirements.  Providers are also encouraged to review their MAC's websites as well for any additional instructions.