2023-10
From June through August 2023, the Office of Long-Term Living (OLTL) held Listen and Learn Sessions across Pennsylvania. There were a total of 16 in-person sessions and three virtual sessions…
On Thursday, October 18, the Office for Civil Rights (OCR) at the U.S. Department of Health and Human Services (HHS), issued two resource documents to help explain to patients the…
New VBID Evaluation Report
October 30, 2023Last month, the Center for Medicare & Medicaid Innovation (CMMI) released the most recent Medicare Advantage (MA) Value-Based Insurance Design (VBID) Model evaluation report. The report highlights participation, flexibilities, and outcomes, as…
Payment Rates for Medicaid Home- and Community-Based Services: States’ Responses to Workforce Challenges
October 30, 2023A study by Kaiser Family Foundation (KFF), Payment Rates for Medicaid Home- and Community-Based Services: States’ Responses to Workforce Challenges, offers insights drawn from a Medicaid HCBS survey conducted across all 50…
Agency With Choice Litigation Update
October 23, 2023As previously reported, on September 11, 2023, the Commonwealth Court heard arguments in a preliminary hearing regarding PHA’s lawsuit against the Pennsylvania Department of Human Services (DHS). The claim had…
On October 11, CMS issued Change Request 13417, which provides instruction to Medicare Administrative Contractors (MACs) on updated interest rates under the Medicare program. Effective October 17, 2023, CMS has instructed…
Many Redetermination requests submitted through myCGS are dismissed because the form is not completed correctly. Digits of the Internal Control Number (ICN) are transposed, codes and modifiers added to the form are…
ICYMI: HHAeXchange Issues Provider Notice on Visit Start Date
October 16, 2023HHAeXchange recently shared the following notification to providers: DHS has issued guidance pertaining to shifts where the actual start date is different than the scheduled start date. According to Systems…
Quality Reporting Program: Non-Compliance Letters for CY 2024 APU for Home Health Agencies
October 16, 2023CMS is providing notifications to home health agencies that were determined to be out of compliance with the Home Health Quality Reporting Program (HHQRP) requirements for calendar year (CY) 2022,…
Quarterly Medicare Credit Balance Reports Due October 30
October 16, 2023As a reminder, the Medicare Credit Balance Report for the quarter ending September 30 is due by October 30, 2023. CGS will suspend all claim payments at 100% if a completed…
CMS Proposes Changes to the HCBS 1915(c) Waiver Application
October 16, 2023In September 2023, the Centers for Medicare & Medicaid Services (CMS) posted proposed updates to the 1915(c) Home and Community Based Services (HCBS) Waiver Application and Technical Guide in the…
CMS Releases BIMS Resource
October 9, 2023The Centers for Medicare & Medicaid Services (CMS) is offering a 3-minute, animated explainer video, BIMS and BIMS Summary Score: Stopping and Coding an Incomplete Interview for Home Health providers….
DHS Provider Quick Tip: Revalidation of Multiple Locations
October 9, 2023The Pennsylvania Department of Human Services Provider Enrollment Department has issued a new Provider Quick Tip on the Revalidation of Multiple Locations. To view the quick tip, click here.
On September 26, 2023, the Centers for Medicare & Medicaid Services (CMS) announced the Medicare Advantage (MA) plans that will be participating in the MA Value-Based Insurance Design Model (VBID) during calendar…
AARP Releases 2023 LTSS Scorecard
October 9, 2023On Thursday, September 28, AARP released their 2023 Long-term Services and Supports (LTSS) Scorecard, the fifth iteration of the scorecard, which is released every three years. The Scorecard ranks all…
CMS released a Medicaid Transportation Coverage Guide, a compilation of Medicaid transportation policy providing a one-stop transportation resource for states on federal requirements and state flexibilities. The guide highlights existing policies…
Harrisburg Happenings: Fall Session in Full Swing
October 2, 2023The Senate and House are both back in session in Harrisburg for the first time since June, with pending tasks related to the current Fiscal Year Budget. House Bill 1300,…
Adult Protective Services Proposed Rule
October 2, 2023The Administration for Community Living is soliciting feedback on a proposed rule that aims to set the first-ever federal regulations for Adult Protective Services (APS) programs. This rule will enhance…
CMS Shares MFT & MHC Provider Enrollment FAQs
October 2, 2023CMS posted some Frequently Asked Questions (FAQs) to educate mental health counselors and marriage and family therapists on the CY 2024 Physician Fee Schedule (PFS) proposed rule related to the existing enrollment…
FY2024 Hospice Medicare and Medicaid Base Rates
October 2, 2023Beginning October 1, 2023, hospice base payment rates will increase by 3.1 percent, as published in the final FY 2024 Hospice Payment Rule. As is customary, the Medicaid program waits until…
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