2023-11
Last week, the U.S. House of Representatives passed the Elizabeth Dole Home Care Act (H.R. 542). This legislation, sponsored by Rep. Julia Brownley (D-CA) and Jack Bergman (R-MI), seeks to support…
Harrisburg Happenings: 2023 State Legislative Session Wrapping Up
December 11, 2023Both chambers of the Pennsylvania state legislature are scheduled to return to Harrisburg next week for the final scheduled session days of 2023. It’s unclear if lawmakers will bring a…
Improving Managed Care Appeals Process, Medicaid HCBS Discussed During November MACPAC Meeting
November 20, 2023This month, the Medicaid and CHIP Payment and Access Commission (MACPAC) held a public meeting that included presentations on improving the managed care appeals process, update on the continuous coverage unwinding, and…
Plan Ahead! CMS Shares New HHVBP Resources for CY 2024 & 2025
November 20, 2023resources to help providers plan and succeed in Expanded HHVBP model for the Calendar Year (CY) 2024 and CY 2025. See below for the new at-a-glance resources.
CMS Issues New Resources in Advance of CY 2024 Home Health Final Rule Implementation
November 20, 2023Last week, CMS shared the following MLN Matter Articles to provide an overview of key provisions of the CY 2024 Home Health Final Rule, including payment and provider enrollment changes….
National Labor Board Issues Final Rule on Joint-Employer Status
November 13, 2023On October 26, the National Labor Relations Board (NLRB) issued its final rule to establish a new standard for determining when two entities may be considered joint employers for purposes…
November MedPAC Meeting Highlights Hospice Workplan
November 13, 2023During its November meeting, the Medicare Payment Advisory Commission (MedPAC) presented its hospice workplan for ongoing and new projects, which include evaluations on: More details on each of these projects are provided below….
2024 OASIS-E Manual Now Available
November 13, 2023The 2024 Update to the OASIS-E Manual and the associated Change Table are now available in the Downloads section on the OASIS Users Manuals page. There are no changes to the OASIS-E…
On November 1, 2023, the Centers for Medicare & Medicaid Services (CMS) issued the calendar year (CY) 2024 Home Health Prospective Payment System (HH PPS) Rate Update final rule, which…
Senator Bob Casey (D-Pennsylvania), who serves as the chairman of the U.S. Senate Special Committee on Aging, introduced the Home and Community-Based Services (HCBS) Relief Act along with 17 of…
Centers for Medicare & Medicaid (CMS) Releases Hospice Quality Reporting Program Report
November 6, 2023The Centers for Medicare & Medicaid (CMS) has been developing a new Hospice Quality Reporting Program (HQRP) data collection tool – HOPE (Hospice Outcomes & Patient Evaluation). The HOPE is…
CMS Suspects Auto-Renewal Issue in Medicaid Disenrollments
September 11, 2023In a letter to all states, the Centers for Medicare & Medicaid Services (CMS) has reported issues with eligibility systems using auto-renewals that lead to wrongful disenrollments from Medicaid and CHIP, particularly…
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