February 14, 2020
A Look at the Federal Register
Policy Changes to Medicare Advantage, Part D, Medicaid
CMS released a proposed rule and advanced notice outlining contract year 2021 and 2022 changes to Medicare Advantage (MA), Part C and Part D. The proposed rule also includes proposals for allowing ESRD beneficiaries to enroll in MA. Overall, MA plans are expected to see a 1% year-over-year payment increase in 2021. Comments are due April 6, 2020. Learn more about key provisions.
Updates to DMEPOS Prior Authorization List
CMS released a final rule adding six new HCPCS codes for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) that require prior authorization as a condition of payment.
Open document to read more; page 6.