Programs
Regulatory Updates
Total of 186 Records Returned
State: Florida
Florida – All Provider Types UPDATE: Hurricane Debby – Key Medicaid Information for Fee-for-Service and Managed Care Providers
Date Adopted : 08/1/2024
Date Expired : 09/3/2024
Program: Acute Care Hospital, Ambulatory Surgical Centers (ASC), Clinical Laboratory, Critical Care Hospital, Durable Medical Equipment, Prosthetics, Orthotics, and Supplies, Home Care, Home Health, Home Infusion Therapy, Hospice, Pharmacy, Renal Dialysis, Sleep
The purpose of this alert is to provide an update to the previous provider alert issued on 08/04/2024 regarding Hurricane Debby. The following flexibilities/waivers offered to providers in the alert issued on 08/04/2024 will expire at 11:59 p.m. on Tuesday, September 3, 2024:
- Waiver of prior authorization requirements for critical Medicaid services
- The lifting of early prescription refill edits will remain in place in accordance with Governor Ron DeSantis’ emergency executive orders issued for Hurricane Debby
- Waiver of service limitations to ensure a recipient requiring critical Medicaid services during the storm receives such care
- Temporary postponement of the Preadmission Screening and Resident Review processes
State: Idaho
Idaho – Residential Assisted Living Facility Rule Update
Date Proposed : 05/26/2023
Date Effective : 07/1/2024
Date Adopted : 07/1/2024
Program: Assisted Living
Assists in streamlining the process for potential applicants for Residential Assisted Living Facilities (RALFs) while balancing the safety of residents.
Read MoreState: South Carolina
CMS Provides Resources, Flexibilities for Hurricane Debby – South Carolina, Georgia, Florida and Hawaii
Date Posted : 08/1/2024
Program: Acute Care Hospital, Ambulatory Surgical Centers (ASC), Clinical Laboratory, Critical Care Hospital, Durable Medical Equipment, Prosthetics, Orthotics, and Supplies, Home Health, Home Infusion Therapy, Hospice, Pharmacy, Renal Dialysis
The Secretary of the Department of Health and Human Services (HHS) may, under section 319 of the Public Health Service (PHS) Act determine that: a) a disease or disorder presents a public health emergency; or b) that a public health emergency, including significant outbreaks of infectious disease or bioterrorist attacks, otherwise exists.
Read MoreState: All
Effective August 12: New Orthoses Codes Added to Required Prior Authorization and WOPD
Date Posted : 08/5/2024
Date Effective : 08/12/2024
Program: Durable Medical Equipment, Prosthetics, Orthotics, and Supplies, Pharmacy
Effective August 12, 2024, CMS selected six more orthoses codes for required prior authorization to begin nationwide on August 12, 2024: L0631, L0637, L0639, L1843, L1845, L1951. We began accepting prior authorization requests for the added codes on July 29, 2024. CMS also selected eight more orthoses codes for required face-to-face encounter and written order prior to delivery (WOPD): L0635, L0636, L0638, L0639, L0640, L0651, L1845, and L1852 Effective August 12, 2024, Medicare will not require prior authorization and face-to-face encounter and Written Order Prior to Delivery (WOPD) for HCPCS code L1833.
Read MoreState: All
Hospital Inpatient Prospective Payment System & Long-Term Care Hospital Prospective Payment System FY 2025 Final Rule
Date Posted : 08/8/2024
Date Effective : 01/1/2025
Program: Acute Care Hospital
On August 1, 2024, the Centers for Medicare & Medicaid Services (CMS) issued the fiscal year (FY) 2025 Medicare Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital (LTCH) Prospective Payment System (PPS) final rule. The final rule updates Medicare fee-for-service payment rates and policies for inpatient hospitals and LTCHs for fiscal year (FY) 2025. CMS is publishing this final rule to meet the legal requirements for updating Medicare payment policies for IPPS hospitals and LTCHs on an annual basis. This fact sheet discusses major provisions of the final rule, which can be downloaded from the Federal Register at: https://www.federalregister.gov/public-inspection/current
Read MoreState: All
CMS FY 2025 Hospice Final Rule
Date Posted : 07/30/2024
Date Effective : 10/1/2024
Program: Hospice
On July 30, CMS released the FY 2025 Hospice Wage Index and Payment Rate Update, Hospice CoP Updates, and Hospice Quality Reporting Program Updates. This is scheduled to be published in the federal register August 6, 2025. Changes outlined in this final rule will be effective Oct 1, 2025, unless otherwise stated. This final rule addresses payment, quality reporting, CAHPS, the new HOPE instrument, and CoP updates.
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Accreditation Commission for Health Care, Inc.