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CMS Announces a Demonstration on the Medicare Prior Authorization Proposed for Home Health Services

Posted on Tuesday, February 9, 2016 10:04 AM

CMS announced a demonstration program on Medicare home health prior authorization for Florida, Texas, Illinois, Michigan, and Massachusetts. The states are under the HHS/DOJ fraud program called H.E.A.T., except for Massachusetts. NAHC plans to reject the program because they believe the antifraud enforcement efforts are already targeted. The prior authorization program is expected to increase administrative costs with little or no return. The proposal is up for public discussion until April 5, 2016. Everyone is encouraged to put forth their comments, including those outside the targeted states. For the full article, click here.


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