Biden Administration to Fund Opioid Addiction Treatment in Jails and Prisons
The Biden administration is asking states to use Medicaid funds to cover opioid addiction treatment in correctional facilities, where many people suffer intense cravings and withdrawal. (Source: NYT Health)
Source: NYT Health - April 21, 2023 Category: Consumer Health News Authors: Noah Weiland Tags: Prisons and Prisoners Drug Abuse and Traffic Opioids and Opiates Medicaid Buprenorphine (Drug) Methadone Centers for Medicare and Medicaid Services Federal Bureau of Prisons White House Office of National Drug Control Policy Biden, Josep Source Type: news

Dexcom, A Top 3% Stock, Nears A Breakout On A'Landmark' Win
stock closed in on a breakout Monday after Medicare officials announced the biggest-ever expansion for coverage of continuous glucose monitors in the U.S. The Centers for Medicare and Medicaid Services will now reimburse the cost of continuous glucose monitors, or CGMs, for all Medicare patients…#medicare #centersformedicare #medicaidservices #dexcom #cgm #compositerating #ibddigital #abbottlaboratories #abt #medtronic (Source: Reuters: Health)
Source: Reuters: Health - April 18, 2023 Category: Consumer Health News Source Type: news

CMS: Medicare Program; Public Meeting for New Revisions to the Healthcare Common Procedure Coding System (HCPCS) Coding: May 30-June 1, 2023
The Centers for Medicare and Medicaid Services (CMS) will hold a virtual public meeting on May 30 - June 1, 2023, to discuss the preliminary coding, Medicare benefit category, and payment determinations for new revisions to the Healthcare Common Procedure Coding System (HCPCS) Level II code set. The agenda and information on how to join the meeting will be posted on theCMS website. Registration is required. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - April 14, 2023 Category: Rural Health Source Type: news

A guide to MedPAC ’s Part B vote today
Today, the Medicare Payment Advisory Commission (MedPAC), an independent congressional agency that advises Congress on issues related to the Medicare program, will vote on draft recommendations related to Part B. Unfortunately, these recommendations include proposals that could give the Centers for Medicare and Medicaid Services (CMS) new authority to make one-size-fits-all value judgments based on flawed cost-effectiveness standards, and to come between doctors and patients in deciding which treatment option is best. (Source: The Catalyst)
Source: The Catalyst - April 13, 2023 Category: Pharmaceuticals Tags: Research and Development Medicare Part B Source Type: news

Why Shares Of Shockwave Medical, A Top 5% Stock, Just Skyrocketed
A new Medicare rule could sweeten reimbursement for Shockwave Medical's (SWAV) systems, according to a report Tuesday that sent SWAV stock soaring. X The Centers for Medicare and Medicaid Services unveiled a proposed rule that outlines three high-paying codes for coronary intravascular…#medicare #shockwavemedical #xcentersformedicare #medicaidservices #shockwave #mikematson #cms #ivl #marketsmithcom #allisongatlin (Source: Reuters: Health)
Source: Reuters: Health - April 11, 2023 Category: Consumer Health News Source Type: news

CMS: Medicare Program; FY 2024 Inpatient Psychiatric Facilities Prospective Payment System-Rate Update
Notice of proposed rule from the Centers for Medicare and Medicaid Services (CMS) updating the FY 2024 prospective payment rates, outlier threshold, and wage index for Medicare inpatient hospital services provided by inpatient psychiatric facilities (IPF), including psychiatric hospitals and excluded psychiatric units of an acute care hospital or Critical Access Hospital. The proposed rule discusses proposals on quality measures and reporting requirements under the Inpatient Psychiatric Facilities Quality Reporting (IPFQR) Program, with proposed changes beginning with the FY 2024 payment determination through changes begin...
Source: Federal Register updates via the Rural Assistance Center - April 10, 2023 Category: Rural Health Source Type: news

CMS: Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2024 and Updates to the IRF Quality Reporting Program
Notice of a proposed rule from the Centers for Medicare and Medicaid Services (CMS) seeking comments on updates to the prospective payment system for inpatient rehabilitation facilities (IRFs) for fiscal year 2024. Among other things, this proposed rule would rebase and revise the IRF market basket to reflect a 2021 base year, modifies the regulation regarding when IRF units can become excluded and paid under the IRF PPS, and updates the IRF Quality Reporting Program. Includes rural considerations throughout. Comments are due by June 2, 2023. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - April 7, 2023 Category: Rural Health Source Type: news

Taking the Long Road: CMS Releases More Guidance on CAH, REH Designations
The Centers for Medicare and Medicaid Services (CMS) recently released guidance on proper billing practices, designations, and conversion processes for Critical Access Hospitals (CAHs) and Rural Emergency Hospitals (REHs). CMS updated the location requirement for CAHs, detailed the optional payment method for CAHs, and included information on the REH provider type, (Source: News stories via the Rural Assistance Center)
Source: News stories via the Rural Assistance Center - April 7, 2023 Category: Rural Health Source Type: news

Public Inspection: CMS: Medicare Program: FY 2024 Inpatient Psychiatric Facilities Prospective Payment System - Rate Update
Pre-publication notice of proposed rule from the Centers for Medicare and Medicaid Services (CMS) updating the FY 2024 prospective payment rates, outlier threshold, and wage index for Medicare inpatient hospital services provided by inpatient psychiatric facilities (IPF), including psychiatric hospitals and excluded psychiatric units of an acute care hospital or Critical Access Hospital. The proposed rule discusses proposals on quality measures and reporting requirements under the Inpatient Psychiatric Facilities Quality Reporting (IPFQR) Program, with proposed changes beginning with the FY 2024 payment determination throu...
Source: Federal Register updates via the Rural Assistance Center - April 5, 2023 Category: Rural Health Source Type: news

Public Inspection: CMS: Medicare Program: Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2024 and Updates to the IRF Quality Reporting Program
Pre-publication notice of a proposed rule from the Centers for Medicare and Medicaid Services (CMS) seeking comments on updates to the prospective payment system for inpatient rehabilitation facilities (IRFs) for fiscal year 2024. Among other things, this proposed rule would rebase and revise the IRF market basket to reflect a 2021 base year, modifies the regulation regarding when IRF units can become excluded and paid under the IRF PPS, and updates the IRF Quality Reporting Program. Includes rural considerations throughout. Comments are due by June 2, 2023. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - April 4, 2023 Category: Rural Health Source Type: news

CMS: Agency Information Collection Activities: Submission for OMB Review; Comment Request
The Centers for Medicare and Medicaid Services is seeking comment on two information collections: 1) Registration, Attestation, Dispute Resolution and Correction, Assumptions Document and Data Retention Requirements for Open Payments; and 2) Medicaid Managed Care and Supporting Regulations. Comments are due by May 4, 2023. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - April 4, 2023 Category: Rural Health Source Type: news

CMS: Agency Information Collection Activities: Proposed Collection; Comment Request
The Centers for Medicare and Medicaid Services is seeking comment on the following information collections: 1) Notice of Denial of Medical Coverage (or Payment), which requires Medicare health plans to provide written notice to enrollees in plain language for reasons for denied services and information on the appeals process; and 2) Proposed Repetitive, Scheduled Non-Emergent Ambulance Transport (RSNAT) Prior Authorization Process and Requirements for a Potential National Model, which allows CMS to collect information to continue RSNAT model operations. Comments are due by June 5, 2023. (Source: Federal Register updates vi...
Source: Federal Register updates via the Rural Assistance Center - April 4, 2023 Category: Rural Health Source Type: news

CMS: Medicare Program; FY 2024 Hospice Wage Index and Payment Rate Update, Hospice Conditions of Participation Updates, Hospice Quality Reporting Program Requirements, and Hospice Certifying Physician Provider Enrollment Requirements
Notice of a proposed rule from the Centers for Medicare and Medicaid Services (CMS) updating the hospice wage index, payment rates, and aggregate cap amount for fiscal year 2024. Includes updates to the Hospice Quality Reporting Program; discusses the Hospice Outcomes and Patient Evaluation tool; provides an update on Health Equity and future quality measures; and provides updates on the Consumer Assessment of Healthcare Providers and Systems, Hospice Survey Mode Experiment. Among other things, this rule also includes information on hospice utilization trends and solicits comments regarding information related to the provi...
Source: Federal Register updates via the Rural Assistance Center - April 4, 2023 Category: Rural Health Source Type: news

CMS Releases Intermediate Policy on RHC Rurality Determinations
Announcement from the National Association of Rural Health Clinics that the Centers for Medicare and Medicaid Services has released interim guidance on Rural Health Clinic rural location determinations, which have been in limbo since the Census Bureau updated the rural/urban definition late last year. (Source: News stories via the Rural Assistance Center)
Source: News stories via the Rural Assistance Center - March 31, 2023 Category: Rural Health Source Type: news

Public Inspection: CMS: Medicare Program: Fiscal Year 2024 Hospice Wage Index and Payment Rate Update, Hospice Conditions of Participation Updates, Hospice Quality Reporting Program Requirements, and Hospice Certifying Physician Provider Enrollment Requirements
Pre-publication notice of a proposed rule from the Centers for Medicare and Medicaid Services (CMS) updating the hospice wage index, payment rates, and aggregate cap amount for fiscal year 2024. Includes updates to the Hospice Quality Reporting Program; discusses the Hospice Outcomes and Patient Evaluation tool; provides an update on Health Equity and future quality measures; and provides updates on the Consumer Assessment of Healthcare Providers and Systems, Hospice Survey Mode Experiment. Among other things, this rule also includes information on hospice utilization trends and solicits comments regarding information rela...
Source: Federal Register updates via the Rural Assistance Center - March 31, 2023 Category: Rural Health Source Type: news