Thursday, October 22, 2020
- Opioid Use Disorder Treatment: Medicare Coverage
- Clinical Diagnostic Laboratory Tests Advisory Panel: Request for Nominations
- Medicare Diabetes Prevention Program: Become a Medicare-Enrolled Supplier
- CMS-CDC Fundamentals of COVID-19 Prevention for Nursing Home Management Call — October 22
- Medicare Part A Cost Report: New Bulk e-Filing Feature Webcast — October 29
- Ambulance Inflation Factor (AIF) for Calendar Year (CY) 2021 and Productivity Adjustment
- Medicare Fee-for-Service (FFS) Response to the Public Health Emergency on the Coronavirus (COVID-19) — Revised
- New Waived Tests — Revised
Medicare offers options to help you treat patients with Opioid Use Disorder (OUD). We pay for:
- Office-based OUD treatment, including management, care coordination, psychotherapy, and counseling activities. Learn about treatment billing.
- Treatment provided by enrolled Opioid Treatment Programs (OTPs). Services include medication (like methadone and buprenorphine), counseling, drug testing, and individual and group therapy. We cover counseling and therapy services in person and virtually. Refer your patients to Medicare-enrolled OTPs to get started.
Learn more about our efforts to combat the opioid epidemic.
CMS requests nominations to fill vacancies on the Medicare Advisory Panel on Clinical Diagnostic Laboratory Tests. See the Notice for nomination criteria, and send nomination packages to CDLTPanel@cms.hhs.gov. We get nominations on a continuous basis. Visit the Panel webpage for more information.
Medicare pays Medicare Diabetes Prevention Program (MDPP) suppliers to provide eligible patients with group-based intervention for up to 2 years, using the CDC-approved National Diabetes Prevention Program curriculum.
Interested in becoming a Medicare-enrolled MDPP supplier?
Follow the 2-step process:
- Get CDC preliminary or full recognition.
- Then, find out how to apply to become a Medicare MDPP supplier. Use our checklist to gather what you need to enroll.
Completed CDC recognition and ready for Medicare enrollment?
Fill out the online Medicare Enrollment Application. For help applying, see our Enrollment Webinar Recording and Enrollment Tutorial Video. If you’re already enrolled in Medicare, you must re-enroll as an MDPP supplier.
For More Information:
- Public Health Emergency Flexibilities
- MDPP Expanded Model (PDF) Booklet
- Materials from Medicare Learning Network call
- MDPP webpage
- CDC - CMS Roles Fact Sheet
- Contact the MDPP Supplier Support Center
Thursday, October 22 from 4 to 5 pm ET
CMS, CDC, and the Quality Improvement Organization (QIO) Program present this live Q&A series:
- Register for live Q&A sessions
- Submit questions in advance to DVACSupport@thebizzellgroup.com
- Visit the QIO Program FAQ webpage
Target Audience: Clinical and administrative nursing home staff members.
Thursday, October 29 from 1 to 2:30 pm ET
Register for Medicare Learning Network events.
Medicare Part A providers: Learn how to e-file multiple cost reports in the Medicare Cost Report e-Filing (MCReF) system at the same time. While all provider organizations can benefit from this optional feature, organizations that need to file cost reports for multiple facilities may find it most helpful. Topics:
- Overview of new bulk e-filing, including functionality and layout
- Review of accessing the system and transmitting and tracking your cost report
- Frequently asked questions
Use MCReF to:
- Submit cost reports (Individually or in bulk) with fiscal years ending on or after December 31, 2017
- Track the status of cost reports with fiscal years ending after December 31, 2009
You have the option to electronically transmit your cost report through MCReF or mail or hand deliver it to your MAC. You must use MCReF if you choose to submit electronically.
A question and answer session follows the presentation. You may send questions in advance to OFMDPAOQuestions@cms.hhs.gov with “Medicare Cost Report e-Filing System Webcast” in the subject line. We’ll answer your questions during the webcast or use them to develop materials. For more information, see the MCReF (PDF) MLN Matters Article, and MCReF webpage.
If you can’t stream audio through your computer for this webcast, you can call in.
Target Audience: Medicare Part A providers and organizations that file cost reports for providers.
CMS issued a new MLN Matters Article MM12031 on Ambulance Inflation Factor (AIF) for Calendar Year (CY) 2021 and Productivity Adjustment (PDF). Learn how to determine the payment limit for ambulance services.
Medicare Fee-for-Service (FFS) Response to the Public Health Emergency on the Coronavirus (COVID-19) — Revised
CMS updated MLN Matters Special Edition Article SE20011 Medicare Fee-for-Service (FFS) Response to the Public Health Emergency on the Coronavirus (COVID-19) (PDF) with Critical Access Hospital (CAH) HCPCS codes for COVID-19 testing-related services. The skilled nursing facility benefit period waiver applies to rural hospitals and CAHs.
CMS revised MLN Matters Article MM11982 on New Waived Tests (PDF) to update the release date, transmittal number, and web address.
Nursing homes: Learn how to prepare for COVID-19, provide resident-centered care, and prevent and control infection. Visit the Quality, Safety & Education Portal to access free scenario-based trainings for managers and frontline staff. See the flyer for more information.
CMS posted Managing Diabetes: Medicare Coverage and Resources (Spanish) for your patients.
For More Information:
This newsletter is current as of the issue date. View the complete disclaimer.
The Medicare Learning Network®, MLN Connects®, and MLN Matters® are registered trademarks of the U.S. Department of Health and Human Services (HHS).