Regulatory Updates

State:

Date Effective : 08/12/2024

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

CMS has posted an updated Master List as well as items that require prior authorization and/or require a face-to-face encounter and written order prior to delivery.  CMS has also provided a comparison chart that provides a crosswalk between both required lists.

State: Florida

Program: Assisted Living

Florida has updated Staff Training and Competency Test Requirements for ALF providers in F.A.C. 59A-36.011 (10).  This revision to the rule reflects updated Alzheimer's Disease and Related Dementia Training requirements outlined in Florida Statute 430.5025 implemented in 2023.  ALF providers should review the requirements outlined by the Florida Department of Elder Affairs to ensure compliance.

State: All

Date Effective : 01/1/2025

Program: Home Health

CMS has released draft versions of the OASIS-E1 instruments.  CMS also included on the OASIS Data Set page are other helpful resources to prepare for the updated OASIS.

State: All

Date Effective : 01/1/2025

Program: Renal Dialysis

Effective January 1, 2025, certain drugs, available in oral form for use in ESRD facility dialysis services, will be included in the bundled payment.  Read further for more information regarding payment, coding, and timeframes related to this change.

State: Texas

Date Effective : 09/1/2024

Date Adopted : 04/18/2024

Program: Home Care, Home Health

Texas Health and Human Services Commission issued Provider Letter 2024-10 April 18, 2024.  This letter outlines the requirements for HCSSAs with a home health category (if the agency employees 2 or more registered nurses) to adopt and implement a workplace violence prevention program no later than September 1, 2024.

State: All

Date Effective : 06/3/2024

Program: Hospice

Update:  CMS issued a revised MLN on April 25, 2024 that states the effective date of this requirement has been delayed until June 3, 2024. Reminder to all hospice providers: Effective May 1, 2024, hospice certifying physicians (Medical Director, Medical Director designee, and/or interdisciplinary team hospice physician, as well as the patient-designated attending physician, if they have one) must be enrolled in Medicare or validly opted out at the time of the certification.  It is imperative that hospice providers understand this requirement in order to determine processes for billing compliance.  Read more to learn about the important concepts of this new requirement.