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CMS Flexibilities to Fight COVID-19 – Medicare Shared Savings Program

 Medicare Shared Savings Program: CMS Flexibilities to Fight COVID-19

Since the beginning of the COVID-19 Public Health Emergency, the Trump Administration has issued an unprecedented array of temporary regulatory waivers and new rules to equip the American healthcare system with maximum flexibility to respond to the 2019 Novel Coronavirus (COVID-19) pandemic. These temporary changes will apply immediately across the entire U.S. healthcare system for the duration of the emergency declaration. The goals of these actions are 1) expand the healthcare system workforce by removing…

CMS Flexibilities to Fight COVID-19 – Participants in the Medicare Diabetes Prevention Program

 Participants in the Medicare Diabetes Prevention Program: CMS Flexibilities to Fight COVID-19

The Trump Administration is issuing an unprecedented array of temporary regulatory waivers and new rules to equip the American healthcare system with maximum flexibility to respond to the 2019 Novel Coronavirus (COVID-19) pandemic. Made possible by President Trump’s recent emergency declaration and emergency rule making, these temporary changes will apply imme­diately across the entire U.S. healthcare system for the duration of the emergency declaration. The goals of these actions are to 1)…

CMS Flexibilities to Fight COVID-19 – CMS SARS-CoV-2 Laboratory Testing Comparison

DEPARTMENT OF HEALTH & HUMAN SERVICES
Centers for Medicare & Medicaid Services
7500 Security Boulevard, Mail Stop C2-21-16
Baltimore, Maryland 21244-1850
Center for Clinical Standards and Quality/Quality, Safety & Oversight Group
Admin Info: 20-06-CLIA
DATE: April 30, 2020
TO: State Survey Agency Directors
FROM: Director
Quality, Safety & Oversight Group
SUBJECT: CMS SARS-CoV-2 Laboratory Testing Comparison
Background:
CMS is committed to taking critical steps to ensure America’s clinical laboratories can respond to the threat of COVID-19 and other respiratory illnesses to protect patient health and safety. The intent of the CLIA program is to ensure that test results provided…

CMS Flexibilities to Fight COVID-19 – COVID-19, Influenza, and RSV Clinical Diagnostic Laboratory Tests for which Medicare Does Not Require a Practitioner Order During the PHE

COVID-19, Influenza, and RSV Clinical Diagnostic Laboratory Tests for which
Medicare Does Not Require a Practitioner Order During the PHE*
Updated May 12, 2020
CPT/HCPCS
Code Laboratory Code Long Descriptor
Code
Category
COVID-19 Related Codes
U0001 CDC 2019-nCoV Real-Time RT-PCR Diagnostic Panel COVID-19
U0002
2019-nCoV Coronavirus, SARS-CoV-2/2019-nCoV (COVID-19), any technique, multiple types or
subtypes (includes all targets), non-CDC)
COVID-19
U0003
Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome
coronavirus 2 (SARS-CoV-2) (Coronavirus disease ), 2 amplified probe technique, making
use of high throughput technologies as described by CMS-2020-01-R
COVID-19
U0004
2019-nCoV Coronavirus, SARS-CoV-2/2019-nCoV (COVID-19), any technique, multiple types or
subtypes (includes all…

CMS Flexibilities to Fight COVID-19 – Medicare 1135 Waivers & Two Interim Final Rules Enabling Health System Expansion

 Medicare 1135 Waivers & Two Interim Final Rules Enabling Health System Expansion

Medicare 1135 Waivers & Two Interim Final Rules

•CMS has two critical roles:

•Ensure Medicare beneficiaries receive safeand effectivecare during the COVID-19 Public Health Emergency (PHE).

•Ensure Medicare payment/coverage policies during the COVID-19 PHE do not impedeproviders working to expand capacity to treat patients.

•In light of the PHE, CMS can waive certain pre-approval requirements, federal licensing requirements, EMTALA, Stark…

CMS Flexibilities to Fight COVID-19 -COVID-19 Frequently Asked Questions (FAQs) on Medicare Fee-for-Service (FFS) Billing

Updated: 5/1/2020

COVID-19 Frequently Asked Questions (FAQs) on

Medicare Fee-for-Service (FFS) Billing

The FAQs in this document supplement the following previously released FAQs: 1135 Waiver FAQs, available at https://www.cms.gov/About-CMS/Agency- Information/Emergency/Downloads/MedicareFFS-EmergencyQsAs1135Waiver.pdf, and Without 1135 Waiver FAQs, available at https://www.cms.gov/About-CMS/Agency- Information/Emergency/Downloads/Consolidated_Medicare_FFS_Emergency_QsAs.pdf).

We note that in many instances, the general statements of the FAQs referenced above have been superseded by COVID-19-specific legislation, emergency rules, and waivers granted under section 1135 of the Act specifically to address the COVID-19…

CCHP Releases Spring 2020 50 State Report, with Pre-COVID-19 Policies

The updated Spring 2020 version of CCHP’s “State Telehealth Laws and Reimbursement Policies” Report is available today!  The Spring 2020 edition offers policymakers, health advocates and other interested health care professionals a detailed compendium of state telehealth laws, regulations and Medicaid policies.  It is important to note that since the research was conducted for this report in February 2020, the COVID-19 emergency has imposed many temporary waivers, exceptions and changes to telehealth policy across the nation.  Those changes, while…

Barriers to Telehealth Continue to Fall After CARES Act and Other Federal and State Actions

As we’ve previously discussed on the blog, telehealth is playing a critical role in delivering care during the COVID-19 pandemic. Both Congress and states continue to take action to expand the use and reimbursement of telehealth services. The Coronavirus Aid, Relief, and Economic Security Act (CARES Act) passed by Congress last Friday includes many provisions that further expand the use and reimbursement of telehealth during this public health emergency. Congress previously took action to start waiving certain telehealth requirements in the Coronavirus Preparedness and Response Supplemental Appropriations Act (Appropriations Act) passed on March…

Tech experts: Widespread adoption of telemedicine, remote monitoring ‘here to stay’

Health systems across the country rapidly stood up virtual care programs to monitor COVID-19 patients from home and it proved to be a crucial tool during the pandemic.

As the country begins to emerge from the COVID-19 pandemic, these virtual tools, including telehealth, remote monitoring technologies, and wearables, will become a way of life for patients and will likely replace some in-person care, health technology experts say. 

“I think we have hit a turning point. Here at Stanford Medicine, we used to see 1,000 patients a week with telehealth and now we’re seeing 3,000 a…

FCC Chairman Calls Telehealth the ‘Silver Lining’ of COVID-19 Pandemic

Federal Communications Commission (FCC) Chairman Ajit Pai called telehealth investments and advancements the “silver lining” of the COVID-19 coronavirus pandemic at a May 6 Brookings Institution webinar.

“The future is very bright for telehealth,” Pai said at the event, “and if we can take one silver lining of this dismal time is that we are finally at the point where technology can deliver better outcomes for healthcare patients across this country, and a more effective healthcare system for everybody.”

Pai said that no area has seen greater potential for transformative change…

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