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:: NAHC Report
 
NAHC Report: Issue# 2431, 5/16/2014
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ARTICLE ARCHIVES MEMBER RESOURCES eNEWSLETTERS CARING STORE
NAHC, Other Stakeholders Advocate on Hospice/Part D Issues with White House Staff
National Council on Medicaid Home Care Analyzed April Report on Money Follows the Person Utilization
For Your Information: Upcoming NAHC Trainings on Implementing the New Hospice Item Set

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NAHC, Other Stakeholders Advocate on Hospice/Part D Issues with White House Staff
NAHC/HAA Develop Online Survey Tool to Submit Stories of Problems with PA Process

On Tuesday, May 13, representatives of the National Association for Home Care & Hospice (NAHC), the Center for Medicare Advocacy, the Medicare Rights Center, and the National Hospice and Palliative Care Organization (NHPCO) met with a member of the White House Domestic Policy Staff to discuss continuing problems related to CMS’ requirement that Part D plans impose a beneficiary-level prior authorization (PA) for drugs prescribed for hospice patients. 

During the meeting, advocates argued that imposition of a PA process at the beneficiary level for terminally ill patients is particularly inappropriate as any PA process slows access to medications and creates difficulties that dying patients and their loved ones should not be subject to. 

The group urged withdrawal of the PA requirement, citing countless problems, among them: failure of Part D plans to follow the PA guidance issued by CMS; widespread refusal by Part D plans to enter into advance discussions with hospices to establish responsibility for drug coverage so that rejection of coverage could be avoided when the patient goes to the pharmacy to fill prescriptions; refusal of Part D plans to accept direct information from hospices on patient status - resulting in patients no longer on  hospice being refused all Part D drug coverage; and misunderstanding of the PA process at the pharmacy level that results in the provision of misinformation to the patient.

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National Council on Medicaid Home Care Analyzed April Report on Money Follows the Person Utilization

On April 25, the Henry J. Kaiser Family Foundation released a report titled Money Follows the Person: A 2013 State Survey of Transitions (the Report). The National Council on Medicaid Home Care – a NAHC affiliate - discusses the Report’s key findings, providing approximate numbers in most instances. 

Overview of MFP

The Money Follows the Person Demonstration Grant (MFP) provides states with grant money for rebalancing Medicaid long-term services and supports (LTSS) for the chronically ill and disabled from institutional care to home and community-based care. Such grant money is provided for 12 months per each enrolled Medicaid beneficiary. States provide a flexible budget that the Medicaid beneficiary uses to purchase a variety of services and items to stay in the community.

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Upcoming NAHC Trainings on Implementing the New Hospice Item Set

NAHC is offering the following webinar on IMPLEMENTING THE HIS at a single low rate of $125 per site – regardless of the number of participants you have in the room.

When: Tuesday, May 27, 2014, 1:00 PM - 3:00 PM EST

Register Here to reserve your space.

Summary

This informative session will review each component of the HIS implementation, the details of each measure and what hospices should include in and collect from their records as well as explain the intersection of HIS and QAPI.  This webinar will also list operational and procedural steps that will streamline implementation and maintenance.

Objectives

  • Brief HQRP update
  • Describe details of the HIS measures and data that must be collected
  • Review the components of HIS implementation and the timeframes for data collection/submission
  • Identify effective approaches to meeting the organizational and staff related challenges specific to implementation
  • Explain the intersection of the HIS and the QAPI requirements
  • List tips for smooth implementation and reporting

Presenters

Katie Wehri, CHC, CHPC
Hospice Operations
National Association for Home Care & Hospice

Theresa M. Forster
Vice President for Hospice Policy & Programs
National Association for Home Care & Hospice

Register Here to reserve your space.

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