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:: NAHC Report
NAHC Report: Issue# 2350, 1/10/2014
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ARTICLE ARCHIVES MEMBER RESOURCES eNEWSLETTERS CARING STORE
NAHC/HAA Submit Comments on Preauthorization of Hospice Patient Drugs under Part D
New Hampshire Enters into Settlement Agreement to Provide Community Mental Health Services
For Your Information: Join the American Health Lawyers Association and NAHC at the Upcoming Long Term Care and the Law Conference
NAHC/Home Care & Hospice Events
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NAHC/HAA Submit Comments on Preauthorization of Hospice Patient Drugs under Part D

As previously reported, in recent months the Centers for Medicare & Medicaid Services (CMS) has accelerated activity related to coverage of drugs under Part D for hospice patients.  The National Association for Home Care & Hospice’s (NAHC) Hospice Association of America (HAA) has been engaged in communication with CMS and other stakeholders on these issues.

Analgesics for Hospice Patients

CMS directed Part D plans to recoup payment for all analgesics provided to hospice patients, based on the presumption that any analgesic is for treatment of the terminal or related conditions.   In response, HAA corresponded with CMS, expressing objection to the assumption that all analgesics prescribed for hospice patients are for the terminal or a related condition. 

Preauthorization of Part D Drugs for Hospice Patients

In early December, CMS issued a memorandum directing Part D plans, effective March 1, 2014, to implement preauthorization processes for all drugs prescribed for patients on hospice.  Last week, HAA submitted lengthy comments to CMS on preauthorization of Part D drugs for hospice patients. 

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New Hampshire Enters into Settlement Agreement to Provide Community Mental Health Services

On December 19, in Amanda D., et al. v. Wood Hasan, et al. (formerly Lynn E. v. Lynch), the State of New Hampshire (the State) entered into a class action settlement agreement (the Settlement) with the United States Department of Justice (DOJ) and mental health care recipients and advocacy organizations to provide new community mental health services.  As a result, the State must expand community mental health services over the next six years, including mobile crisis teams, housing, and employment services.  The Settlement still needs to be approved by the presiding judge Steven J. McAuliffe of the U.S. District Court.  The parties have requested until the end of this month to submit comments to the settlement, and that the court schedules a fairness hearing on or after Feb. 17, 2014.   

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Join the American Health Lawyers Association and NAHC at the Upcoming Long Term Care and the Law Conference
FEBRUARY 19 – 21, 2014 IN LAS VEGAS

The National Association for Home Care & Hospice is a co-sponsor of the upcoming American Health Lawyers Association (AHLA) Long Term Care and the Law conference. The conference will be held in Las Vegas, NV at The Cosmopolitan Hotel, from Wednesday, February 19 to Friday, February 21, 2014.

The 2014 conference promises to be an exciting and informative meeting where some of the leading long term care lawyers in the nation will be presenting on topics ranging from fraud and abuse to how the post-acute market is changing. NAHC’s Bill Dombi will provide an update on the “Legislative and Regulatory Issues for Home Health and Hospice.”

For the first time, the conference will have an education track with a focus on “Home Health and Hospice.” Some of the program topics include Government Fraud Concerns in Hospice and Home Health; Home Health Transactions: Clinical and Legal Aspects of the Diligence; Compassionate and Compliant End of Life Care in SNFs; and Hone in on Home Health and Hospice Compliance and Quality: The Government is Watching. The conference will also have an Interactive Session and Roundtable dedicated to home health and hospice.

This year’s plenary session is titled, Acute and Post-Acute Integration: Insights from Both Outside and Inside the Long-term Care Spectrum. The Plenary Session Panel will discuss these trends with an outstanding panel of diverse experts who will provide perspectives from outside as well as inside the post-acute spectrum. Two moderated panels will delve deeply into not only what appears to be happening with post-acute integration, but also what is really happening with actual provider experiences. The first part of the panel will include leaders who are outside of long-term care – from the acute care, managed care, and health care financing arenas. They will provide their perspective on how they see forces outside of long-term care affecting and shaping this integration trend. A second expert panel of individuals from inside the post-acute care spectrum, who are deeply involved in developing these integration transitions within their organizations, will then discuss and give examples of what the post-acute organizations who are leading this movement are doing.

As a co-sponsor to the conference, NAHC non-attorney members and NAHC In-House Counsel members will receive a special discounted rate. To view rates, click here.

For detailed information on the brochure, program, education sessions, and the speakers, please click here.

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