Funding


CRT Accessory Exemption Estimated at $170 Million

After permanently ending the application of bid pricing to CRT accessories, CMS provides estimates of the positive impact for suppliers in its final rule.

Pennsylvania Exempts Breast Pumps From Sales Tax

The new legislation removes sales tax of all retail transactions of breast pumps and related items starting Jan. 1, 2022.

Observation Deck

Preparing for the Next Surge in Claims Audits

Industry Works to Gain More Ground With ARPA Relief

After last week’s Medicaid gains in Massachusetts, AAHomecare, state associations and stakeholders pursue additional relief for HME providers in more states via the American Rescue Plan Act.

CMS Halts Applying Bid Pricing to Manual CRT Accessories

After extending a temporary suspension of any cuts until Sept. 30, CMS has released a final rule stating it will permanently stop applying bid-derived pricing to manual CRT accessory reimbursement.

Bill to Nix MCO Self-Referrals Launched in Pennsylvania

HME providers and stakeholders in the state are encouraged to contact their State Representatives in support of H.B. 1726.

MassHealth Implementing 10% Rate Increase for DME Claims

Funding comes after HOMES and AAHomecare push Massachusetts to provide relief via the American Rescue Plan Act and sets the stage to notify Medicaid officials in other states.

Burr, Bennet Launch Wound Care Legislation

Bill aims to update CMS payment rules to add disposable NPWT devices to product options for at-home wound care and standardize payment method for NPWT devices.

Podcast

HME's Legislative, Regulatory and Payer Relations Priorities

The AAHomecare Update at this week's Medtrade Spring offered a winder range of updates. Staff share their top-line priorities from that update, such as increasing SPA rates, extending relief, CMS's proposed O2 NCD and the American Rescue Plan.

AAHomecare Update: Leveraging HME’s Value

A central theme at Medtrade’s Wednesday AAHomecare Update will be how the industry can make the most of the value to U.S. healthcare it demonstrated during COVID.



Proposed O2 Changes Include Industry Input

CMS’s proposed changes to oxygen National Coverage Determination incorporate many recommendations made by AAHomecare.

AAHomecare, ACMESA Protect N.C. Medicaid MCO Rates

The rate protections shore up legislative protections and will prevent an estimated $22 million in potential cuts to Medicaid MCO reimbursement for HME in North Carolina on an annual basis

Noridian Releases FAQs for Devices Under Philips Recall

Documents for DME MAC Jurisdictions A and D provide direction on coverage and billing impacts for devices falling under the Philips PE-PUR foam recall.

CMS Extends Rate Protections for Manual CRT Accessories

After the industry pushed to back a Congressional sign-on letter to CMS, the agency will delay applying competitive bidding-derived rates to the accessories for another 90 days.

David Kopf

Editor's Note

The HME Industry's Back, Baby!

After months of lockdown, HME events and advocacy return with renewed vigor and energy.

Oklahoma Supreme Court Puts Brakes on MCO Plan

State’s top court rules the state’s Oklahoma Health Care Authority cannot implement managed care for its Medicaid program.

Louisiana Senate Upvotes Ventilator Protections

A unanimous vote approves legislation that prevents insurers, MCOs and other payers from capping reimbursement for ventilators.

MACs’ Post-payment Review Broadened

MACs may now conduct post-payment medical reviews of items and services with dates of service after March 2020.

CMS Releases More Details on Round 2021 Bids

Analysis from AAHomecare shows a large portion of the bids were for the 13 removed categories and came from first-time bidders.

AAHomecare Prioritizes Extending Rural and Non-CBA Relief

The CARES Act’s reimbursement provisions helped rural suppliers and those in other non-bid areas, but they expired when the COVID-19 public health emergency ends.

HME Business Podcast