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:: NAHC Report
 
NAHC Report: Issue# 2561, 12/4/2014
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ARTICLE ARCHIVES MEMBER RESOURCES eNEWSLETTERS CARING STORE
Powerful Members of the House Ways and Means Committee Introduce a Bill that Could Hurt Home Care Agencies
CMS Delays Part D Prescriber Medicare Enrollment Requirements until December 1, 2015
For Your Information: NAHC Web Event Recordings now Available for Purchase
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Powerful Members of the House Ways and Means Committee Introduce a Bill that Could Hurt Home Care Agencies
Bill introduces surety bonds that pose another burden to agencies and hurt small agencies in particular

House Ways and Means Health Subcommittee Chairman Kevin Brady (R-TX) and Ranking Member Jim McDermott (D-WA) introduced the Protecting the Integrity of Medicare Act (PIMA) (H.R. 5780) this week.  Included in section 15 of the legislation is a provision that would impose a home health surety bond of not less than $50,000 that is “commensurate with the volume of payments to the home health agency.”  

CMS has the authority under the ACA to impose such a surety bond, but has not chosen to do so.  H.R. 5780 would make it mandatory.   Here is a link to the legislation: H.R.5780

This legislation could come to the House floor next week under suspension of the rules requiring a two-thirds majority vote.  If it passes the House, it would then go to the Senate.  If taken up by the Senate, it would likely be under a procedure called unanimous consent because of the short time remaining in the lame duck session.  This means one Senator can stop it from coming to a vote during the lame duck session.

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CMS Delays Part D Prescriber Medicare Enrollment Requirements until December 1, 2015

As reported previously, as part of a final rule governing Medicare Advantage (MA) and Part D contracts for calendar year (CY) 2015, the Centers for Medicare & Medicaid Services (CMS) determined that, effective June 1, 2015, Part D plans may no longer cover drugs that are prescribed by physicians or other eligible professionals who are neither enrolled in Medicare nor have validly opted out of Medicare.  In a recent MLN Matters article (SE143), CMS announced that this requirement will be delayed until December 1, 2015. 

SE143 cautions that prescribers of Part D drugs must submit their Medicare enrollment applications or opt-out affidavits to their Medicare Administrative Contractors (MACs) by June 1, 2015 or earlier to ensure that the MACs have sufficient time to process the applications (CMS-855I) or opt-out affidavits (CMS-855O).  This will avoid patients’ prescription drug claims from being denied by their Part D plans beginning with the deadline of December 1, 2015.

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NAHC Web Event Recordings now Available for Purchase

NAHC has recently hosted three web events as a way to learn more about the issues impacting the home care and hospice community.  NAHC’s Web Events are live, interactive events that you can view or listen online from your agency, office or home.

Two of the three recent web events are now available for purchase. The most recent events covered the following topics:

  • December 2, 2014: Mastering Financial Management and Calculation of the Hospice Aggregate Cap—What Every Hospice Provider Should Know.
  • November 19, 2014: 2015 Medicare Home Health PPS Rate Update
  • November 18, 2014: NAHC and CMS Explain the Proposed Home Health Conditions of Participation

To view the availability of these and other recent NAHC Web Events, please click here.

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