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Archive Tag: dme

CMS Releases CY 2021 DMEPOS Proposed Rule: Announces Changes to 2021 Competitive Bidding and Proposes to Classify All CGMs as DME [CMS-1738-P]

On the evening of October 27, 2020, the Centers for Medicare & Medicaid Services (CMS) released the unpublished version and fact sheet of its proposed CY 2021 Durable Medical Equipment, Prosthetics, Orthotics, & Supplies (DMEPOS) rule, which updates DMEPOS coverage and payment policy for CY 2021: Classifies/establishes payment amount for continuous glucose monitors (CGMs) as [...] Read More

Anticipating a Gap in DME Competitive Bidding, CMS Proposes Rules for 2019 Competition and Interim Pricing

This evening, the Centers for Medicare and Medicaid Services (CMS) released the CY 2019 proposed payment rule for Durable Medical Equipment Prosthetics, Orthotics, and Supplies (DMEPOS) and for the End-Stage Renal Disease (ESRD) program. The rule contains changes to the DMEPOS competitive bidding program and proposals for DME fee schedule payments where competitive bidding is […]

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President Trump’s FY 2019 Budget Proposes Changes and Promises Savings

Today, the White House Office of Management and Budget released An American Budget, the fiscal year 2019 budget for the US Government. Concurrently, the Department of Health and Human Services released its FY 2019 Budget in Brief. Together, these documents propose significant savings while making a number of changes to federal healthcare programs. A brief summary […]

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Coming in 2018: CMS Limits on Medicaid DME Funding

On December 27, CMS issued a State Medicaid Director letter to explain new limitations on federal financial participation for durable medical equipment (DME) in Medicaid. Beginning on January 1, 2018  (as required by Section 5002  of the 21st Century Cures Act), federal reimbursement to states for DME expenditures in Medicaid will be limited to the […]

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There’s a New Secretary in Town: What Do We Know About Tom Price?

On February 10, 2017, the Senate confirmed Tom Price to be the 23rd United States Secretary of Health and Human Services. Prior to his nomination and confirmation, Secretary Price was a Member of the United States House of Representatives, representing Georgia’s 6th district. There, he had chaired the House Budget Committee since 2015. In addition, […]

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