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:: NAHC Report
NAHC Report: Issue# 2259, 8/23/2013
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ARTICLE ARCHIVES MEMBER RESOURCES eNEWSLETTERS CARING STORE
AARP Releases MLTSS Report
An Update on the Rebasing Dear Colleague Letter
For Your Information: Andrea L. Devoti, NAHC Board Chair invites you to join her at the NAHC Annual Meeting & Exposition on Oct. 31 – Nov. 3
NAHC/Home Care & Hospice Events
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AARP Releases MLTSS Report
Discusses Consumer Choice and Continuity of Care

In July, AARP released a report entitled Consumer Choices and Continuity of Care in Managed Long-Term Services and Supports: Emerging Practices and Lessons (The Report). The Report discussed major contract review provisions, findings, and lessons learned by stakeholders both with regard to consumer choices and continuity of care in managed long-term services and supports (MLTSS).

The Report also discussed the implementation of consumer choices and continuity of care provisions in Kansas, New York, and Wisconsin during transition periods, and associated contract review provisions and emerging practices in those states.

The emerging practices highlighted in the Report demonstrate that MLTSS continues to evolve, and providers are encouraged to take part in this process. Specifically, the National Council on Medicaid Home Care – a NAHC affiliate - advises home care providers in states transitioning to MLTSS to advocate for:

  • Technical support for billing
  • Uniform billing practices across MCOs
  • Prohibition of exclusive provider agreements and,
  • Intensive monitoring of MLTSS implementation to ensure that providers receive payments

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Andrea L. Devoti, NAHC Board Chair invites you to join her at the NAHC Annual Meeting & Exposition on Oct. 31 – Nov. 3

Recently two of the CMS contractors a have announced widespread audits of home health providers with a key focus on compliance with the face-to-face (F2F) encounter documentation requirements. The documentation requirements have become more stringent recently with contractors now expecting physicians to write detailed descriptions of the patient’s condition in order to support the need for skilled services and homebound status.

NAHC has heard that one contractor has denied 399 claims out of 801 within an 11-day period related to the revised guidelines for the F2F documentation.    

NAHC once again needs to present the case to CMS that home care agencies are in an untenable position with the more stringent F2F requirement guidelines.

Before making such a case, however, NAHC needs to gather solid data to present to the regulators. NAHC has developed a survey with specific questions regarding the number and reasons for F2F denials, and asks its members to take a few moments to offer their insight.

The following survey should only take a few minutes to complete and will provide us with valuable information.

Please click here to access the survey. Your feedback is very important.

Visit the CARING Store online for the latest Resources

An Update on the Rebasing Dear Colleague Letter

NAHC Report recently announced that several Members of Congress circulated a Dear Colleague letter in the House and Senator Debbie Stabinow (D-MI) circulated a similar letter to her Democratic Senate colleagues regarding the proposed rebasing rule that would severely cut home care payments under Medicare.

Please take a moment to urge your lawmakers to sign-on to these important letters. Recently, the NAHC Legislative Action Network posted additional resources – including background information and a grassroots letter that NAHC members can send their lawmakers asking them to sign the letter.

The Legislative Action Network resources also include the projected impact that the rebasing rule will have on individual states and districts.

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