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A Summary of Recent CMS Updates

Apr 08 2020

Given the current situation CMS has been rapidly announcing actions in response to the COVID-19 virus.  Below is a summary of the most recent CMS updates.

State Medicaid Waivers and Amendments

As of April 7th, CMS has issued 49 emergency waivers and 3 Medicaid Disaster Amendments.  These approvals have been expediated and granted in record time to ensure that States can effectively care for and serve their most vulnerable citizens during this crisis.

Clinician Letter

CMS has provided clinicians with a summary of COVID-19 related actions.  The document outlines information on Accelerated and Advanced Payments, Testing and Claims Reporting for COVID-19, Medicare Telehealth Visits, Virtual Check-ins, E-visits, Expanded Options for Telehealth Services, Workforce Flexibilities, CMS Quality Payment Program, and Emergency Waivers.

Non-Emergent, Elective Medical Services and Treatment Recommendations

CMS has made updated recommendations to postpone non-essential surgeries and procedures in order to limit exposure of patients and staff to the virus that causes COVID-19.  CMS has developed a tiered framework to assess the risk and benefit of any medical treatment or service.

Key considerations for determination include the following:

  • Current and projected COVID-19 cases in the community and region
  • Ability to implement telehealth, virtual check-ins, and/or remote monitoring
  • Supply of personal protective equipment available at the practice location and in the region
  • Staffing availability
  • Medical office/ambulatory service location capacity
  • Testing capability in the local community
  • Health and age of each individual patient and their risk for severe disease
  • Urgency of the treatment or service

We will continue to keep you updated on the latest developments as they are released. Please visit the CMS News Room and Current Emergencies Website. CMS updates these resources on an ongoing basis.

Written by Stotler Hayes · Categorized: COVID-19

Stotler Hayes Group, LLC is a national, boutique law firm focused on optimizing recovery for health care providers through Medicaid, Medicare, private collections, training and education. Our attorneys are licensed in, and represent clients before, federal and state courts and agencies in a majority of states around the country.

In the handful of states where Stotler Hayes Group, LLC does not employ a full-time attorney, referrals are made to local counsel, many of whom we have developed close working relationships with over the years. In those cases, our firm works with local counsel throughout the pendency of the case.

Stotler Hayes Group, LLC,

Principal Office: Pawley’s Island, SC, Phone: 843-235-9871; Fax: 888-497-7390; email: info@stotlerhayes.com

This website is for informational purposes only. Please remember that every case is different. Any result we achieve for one client in one matter does not necessarily indicate similar results can be obtained for other clients.

The attorney responsible for the content of this website is Andrea Kirksey, Esq., Executive Director and General Counsel for Stotler Hayes Group, LLC, 297 Willbrook Boulevard,  Pawley’s Island, South Carolina.

She may be contacted at (843) 235-9871, ext. 1002 or at akirksey@stotlerhayes.com.

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