Sep 19, 2019 | Medicare, Substance Abuse
CMS has proposed adding substance use disorder (SUD) services to the Medicare fee schedule, including medication assisted therapies (MAT) for opioid treatment disorder (OUD) and expanded management and counseling services. Click to read more.
Sep 18, 2019 | Medicaid, Substance Abuse
According to an Urban Institute study, Medicaid-covered prescriptions for buprenorphine, which is used to treat opioid addiction, increased dramatically in states that expanded Medicaid. Click to read more.
Sep 17, 2019 | Hospice, Medicare, Part D
A recent OIG report found that Part D plans continue to incorrectly pay for drugs that should have been paid for by hospices under the Medicare Part A hospice benefit. Based on a sample of 2016 records, the OIG estimated that Part D plans made $160.8 million in incorrect payments, with the potential for even more. Click to read more.
Sep 12, 2019 | Inpatient Rehab (IRF), Medicare
CMS has finalized payment policies for Inpatient Rehab Facilities (IRFs) for FY2020, with limited technical adjustments from the proposed rulemaking. Click to read more.
Sep 10, 2019 | Medicaid, Skilled Nursing Facilities (SNF)
Effective October 1, 2019, the Patient Driven Payment Model (PDPM) will replace the RUG-III and RUG-IV case-mix methodologies under the Medicare SNF Prospective Payment System (PPS). These changes are likely to have implications for state Medicaid programs that use the current Medicare case mix adjustment tool for setting Medicaid nursing facility rates. Click to read more.
