BREAKING NEWS: CMS to implement "Pre-Claim Review"
In a shocking move, the Centers for Medicare and Medicaid Services is pushing forward with the well-debated Prior Authorization requirement for Home Health agencies in providing in-home health services to Medicare and Medicaid beneficiaries. This demonstration will take effect for certain states for 3 years.
Click here for the notice to action.
The states that are included in the Pre-Claim Review Demonstration are as follows:
- Illinois (starts August 1, 2016)
- Florida (starts October 1, 2016)
- Texas (starts December 1, 2016)
- Michigan (starts January 1, 2017)
- Massachusetts (starts January 1, 2017)
Amid the disagreement by the industry, beneficiaries, and many others, there must be light at the end of the tunnel as this program is tested – clarity for all concerned whether it will work or not.
News source: Home Health Care News