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Action Alert: Oppose Pre-Claim Review in Medicare Home Health

By Elyse Fulton posted Jul 28,2016 04:18 PM

  

Take action today to protect home health from pre-claim review!

TAHC&H urges all members to contact their Members of Congress to halt the Centers for Medicare and Medicaid Services (CMS) "pre-claim review (PCR)" demonstration in Illinois and delay it in Florida, Texas, Michigan, and Massachusetts in order to avoid any disruptions to patients attempting to access home health services.

Unfortunately, CMS will begin the demonstration in Illinois on August 1st and in Texas as soon as December 1st despite receiving a Congressional letter supported by over 110 Members of Congress (here), numerous stakeholder comment letters (here) and a state delegation letter led by TAHC&H (here).

TAHC&H has participated in all the Open Door Forums as well as communicated directly with CMS and its contractor on all the serious problems related to the continually changing regulatory requirements for providers. There are no clear assurances that CMS contractors have the capacity or the ability to administer such a complex and large change to how patient care and access is currently provided. For these reasons and those provided in our stakeholder comments, TAHC&H remains firmly opposed to the home health pre-claim review demonstration.

As further background, in February, CMS proposed a demonstration program for Medicare home health prior authorization in 5 designated states including Texas. The demonstration program, which was announced in a Paperwork Reduction Act notice in the Federal Register (here), means CMS would have to review and approve home health services before any Medicare beneficiary could begin receiving services. CMS then changed the demonstration to a pre-claim review program, another name for prior authorization, that will cause confusion amongst vulnerable patients and delays or interruptions in critical medical services.

Please call and email your federal Representative to ask them to contact CMS to stop the pre-claim review demonstration that targets Texas.

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