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:: NAHC Report
NAHC Report: Issue# 2317, 11/18/2013
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OMB Receives HCBS Pending Final Rule from CMS
Hospice Patients, Part D Coverage and Analgesics
For Your Information: 2014 NAHC Annual Meeting & Exposition: Call for Presentations
NAHC/Home Care & Hospice Events
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OMB Receives HCBS Pending Final Rule from CMS

On November 5, The Office of Management and Budget (OMB) received for review CMS-2249-F, a pending final rule (the Rule) from the Centers for Medicare and Medicaid Services (CMS) that will simplify the ability of states to administer their home and community-based services (HCBS) programs. The Rule was first published as a proposed rule in April 2008, and then published as a second proposed rule in May 2012. 

To see the regulatory history, please click here.

To see the May 2012 proposed rule, please click here

The Rule had not been previously finalized as CMS deemed it non-compliant with the Affordable Care Act.  Upon completion of OMB’s present review, CMS will publish the Rule as a final rule in the Federal Register.

First, the Rule clarifies the ability of states to furnish HCBS through the 1915(i) State Plan Option, which allows states to provide HCBS without needing a waiver or demonstration program.

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2014 NAHC Annual Meeting & Exposition: Call for Presentations
Deadline for Presentations is Wednesday, December 18, 2013

Have you ever thought of being a presenter for NAHC conferences? Have you or members of a team at your agency or hospice developed a unique program that helps to improve care and increase efficiency? You have an opportunity to share your knowledge with your peers. Learn more about NAHC's presenter submission process by visiting here.

NAHC’s 2014 Annual Meeting & Exposition will build off the success of 2013’s meeting that just concluded in Washington, DC, and is being held Sunday, October 19 – Wednesday, October 22, 2014 at the Phoenix Convention Center in Phoenix, AZ.

The deadline for submissions is Wednesday, December 18, 2013.

NAHC's proposal submission process is online, and you must complete it to be eligible for review and consideration at future educational sessions. Please be sure to read the instructions and submission policies carefully when you go online to submit your presentation proposal. The Annual Meeting will offer more than 125 educational sessions to address the needs of home health, hospice, and private duty providers, as well as clinical professionals including nurses, therapists, and physicians.

Proposal topics should fall in one of the following nine (9) categories:

  • Clinical
  • Financial
  • Human Resources
  • Health Information Technology
  • Legal & Regulatory
  • Management & Leadership
  • Marketing & Business Development
  • Quality
  • Telehealth

For each presentation selected, two (2) presenters will receive  complimentary registration for the meeting. This registration includes the opportunity to attend educational session series, the exposition, and general sessions.

When you are ready to start the online submission process, click here

The Web site will be open for submissions through Wednesday, December 18, 2013. For more information or questions, please contact the NAHC Education Department at 202-547-7424.

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Hospice Patients, Part D Coverage and Analgesics

In the November, 5, 2013 issue of NAHC Report information was provided concerning a Centers for Medicare & Medicaid Services (CMS) memo of October 30, 2013, to all Medicare Part D plan sponsors instructing them to recoup payment directly from hospices for prescription analgesics paid for by the Part D plan during dates in 2011 and 2012 when the beneficiary was enrolled in hospice. There was also coverage of Hospice/Part D issues in the October 24, 2013, issue of NAHC Report.

The National Association for Home Care & Hospice (NAHC) and its affiliated Hospice Association of America (HAA) are concerned about CMS’ blanket statement that all analgesics are presumed related to the terminal (or a related) diagnosis and instruction that case-by-case analysis to determine relatedness is not necessary. We are working on your behalf to share these concerns and dialogue with the appropriate parties on a reasonable approach to addressing payments by Part D plans that should have been paid for by the hospice. 

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