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Recent Postings from CMS

July 2, 2018

CMS Takes Action to Modernize Medicare Home Health

On July 2, CMS proposed significant changes to the Home Health Prospective Payment System (PPS) to strengthen and modernize Medicare, drive value, and focus on individual patient needs rather than volume of care. Specifically, CMS is proposing changes to improve access to solutions via remote patient monitoring technology, and to update the payment model for home health care.
For additional information:

June 27, 2018

CMS Issues Guidance to States on Medicaid Coverage of Drugs Approved by FDA under Accelerated Approval Pathway

Centers for Medicare & Medicaid Services (CMS) released guidance to states through State Release #185 which provides information pertaining to State Medicaid Coverage of Drugs Approved by the FDA under Accelerated Approval Pathway. This release is now available for download here:

June 21, 2018

CMS Data Element Library Now Available

CMS has launched the first CMS Data Element Library (DEL) --- a public resource for providers, vendors, researchers, and other stakeholders that use CMS assessments. End users will be able to search and obtain reports on CMS post-acute care assessment contents, including questions, response codes, relevant attributes, and importantly their associated health IT standards, in one location. The availability of the DEL will further support interoperability and the exchange and reuse of data across post-acute care and other providers by using common assessment standards and definitions to facilitate coordinated care and improved health outcomes.

July Quarterly Update for 2018 DMEPOS Fee Schedule MLN Matters Article — New

A new MLN Matters Article on July Quarterly Update for 2018 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule is available. Learn about quarterly update listing fee schedule amounts for non-rural and rural areas.

June 5, 2018

2016 Medicaid Expenditures for Long-Term Services and Supports Report

Today the Centers for Medicare & Medicaid Services (CMS) announced that the report on Medicaid Expenditures for Long-Term Services and Supports (LTSS) in federal fiscal year (FY) 2016 is now available. Federal and state spending on Medicaid LTSS totaled approximately $167 billion in FY 2016, a 4.5 percent increase from $159 billion in FY 2015.

May 31, 2018

IMPACT Act: Frequently Asked Questions Call — June 21

Thursday, June 21 from 2 to 3 pm ET
During this call, learn more about the Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act). CMS answers your frequently asked questions on quality measures, standardized data elements, the CMS data element library, and future directions of the IMPACT Act. A question and answer session follows the presentation.
Register for Medicare Learning Network events.

The Affordable Care Act Federal Upper Limits Have Been Updated

The updated Affordable Care Act Federal Upper Limits (FUL) calculated in accordance with the Medicaid Covered Outpatient Drug final rule with comment are now available on the Medicaid.gov website here. States will have up to 30 days from the June 1, 2018 effective date to implement these updated FULs.

March 2018 Medicaid & CHIP Eligibility and Enrollment Report

The Centers for Medicare & Medicaid Services (CMS) released the March 2018 monthly report on state Medicaid and Children's Health Insurance Program (CHIP) eligibility and enrollment data. The full report is available on Medicaid.gov here

May 17, 2018

Enhanced “Drug Dashboards” to Increase Transparency on Drug Prices

On May 15, CMS released a redesigned version of the Drug Spending Dashboards. For the first time, the dashboards include year-over-year information on drug pricing and highlight which manufactures have been increasing their prices.

See CMS Press Release

May 11, 2018

CMS releases updated data on geographic variation in the Medicare program

CMS has posted the annual release of the Geographic Variation Public Use File with data for 2007-2016. The Geographic Variation Public Use File is a series of downloadable tables and reports that contain demographic, spending, utilization, and quality indicators for the Medicare fee-for-service population. It presents data at the state-level (including the District of Columbia, Puerto Rico, and the Virgin Islands), hospital referral region (HRR)-level, and county-level.

This public use file is available from the CMS website and can be downloaded here

First CMS Rural Health Strategy

On May 8, CMS released its first Rural Health Strategy intended to provide a proactive approach on healthcare issues to ensure that the nearly one in five individuals who live in rural America have access to high quality, affordable healthcare. “For the first time, CMS is organizing and focusing our efforts to apply a rural lens to the vision and work of the agency,” said CMS Administrator Seema Verma. “The Rural Health Strategy supports CMS’ goal of putting patients first. Through its implementation and our continued stakeholder engagement, this strategy will enhance the positive impacts CMS policies have on beneficiaries who live in rural areas.”

Rural Health Web page
Fact Sheet
CMS Press Release

2018 Measure Development Plan Annual Report

CMS posted the 2018 Quality Measure Development Plan Annual Report, which describes progress in developing clinician quality measures to support the Quality Payment Program. For more information about the report, visit the Measure Development webpage.

April 30, 2018

February 2018 Medicaid & CHIP Eligibility and Enrollment Report

Today the Centers for Medicare & Medicaid Services (CMS) released the February 2018 monthly report on state Medicaid and Children's Health Insurance Program (CHIP) eligibility and enrollment data.
The full report is available here

The Affordable Care Act Federal Upper Limits Have Been Updated

The updated Affordable Care Act Federal Upper Limits (FUL) calculated in accordance with the Medicaid Covered Outpatient Drug final rule with comment are now available on the Medicaid.gov website Here States will have up to 30 days from the May 1, 2018 effective date to implement these updated FULs.

April 23, 2018

Feedback on New Direction Request for Information (RFI) Released

CMS received over 1,000 responses to the RFI from a wide variety of individuals and organizations located across the country, including medical societies and associations, health systems, physician groups, and private businesses. Since the RFI comment period closed last November, CMS has been reviewing the responses, which provided valuable insight on the potential to improve existing models as well as ideas for transformative new models that aim to empower patients with more choices and better health outcomes.
The public comments that were received by the CMS Innovation Center in response to the New Direction RFI are available here

April 13, 2018

Home Health Utilization and Payment Data

CMS posted the home health agency Public Use File (PUF) with data for 2015, including utilization, payment, submitted charges, and condition indicators. The PUF has information for 10,526 home health agencies, over 6 million claims, and $18 billion in Medicare payments.

Visit the Provider Utilization and Payment Data webpage for more information, including updated PUFs for 2013 and 2014.

Market Saturation and Utilization Data Tool

The Centers for Medicare & Medicaid Services (CMS) has developed a Market Saturation and Utilization Data Tool that includes interactive maps and a dataset that shows national-, state-, and county-level provider services and utilization data for selected health service areas. Market saturation, in the present context, refers to the density of providers of a particular service within a defined geographic area relative to the number of the beneficiaries receiving that service in the area.

April 5, 2018

Medicare Diabetes Prevention Program: New Resources

New resources are available on the Medicare Diabetes Prevention Program Expanded Model website:

  • Orientation Video: 5-minute overview, including introductory information on enrollment and services
  • Enrollment Process Timeline: Steps CMS will take to process your enrollment application, how the Medicare Administrative Contractors are involved, and actions to take in this process
  • Supplier Requirements Checklist: Requirements you must comply with to maintain enrollment in Medicare

March 30, 2018

CMS releases 2015 Public Use File for the Medicare Current Beneficiary Survey

The Medicare Current Beneficiary Survey (MCBS), sponsored by the Centers for Medicare & Medicaid Services Office of Enterprise Data and Analytics (OEDA) through a contract with NORC at the University of Chicago is a continuous, in-person, longitudinal survey of a representative national sample of the Medicare population, covering the population of beneficiaries in the US, District of Columbia, and Puerto Rico. It has been carried out continuously for more than 25 years, encompassing more than one million total interviews.

The MCBS 2015 Survey File PUF is available free for download

The Affordable Care Act Federal Upper Limits Have Been Updated

The updated Affordable Care Act Federal Upper Limits (FUL) calculated in accordance with the Medicaid Covered Outpatient Drug final rule with comment are now available on the Medicaid.gov website

March 22, 2018

Methods for Assuring Access to Care: Exceptions for High Managed Care Penetration & Rate Reduction Threshold

The Centers for Medicare and Medicaid Services (CMS) issued a notice of proposed rulemaking (NPRM) that would provide exemptions from the regulatory access to care requirements within the Medicaid program. Specifically, the NPRM would exempt states with high rates of comprehensive Medicaid managed care from analyzing data and monitoring access in fee-for-service delivery systems. Additionally, the NPRM would provide similar exemptions to all states when they make nominal rate reductions to fee-for-service payment rates.

HIMSS Recap: View CMS Educational Session Slides

The Centers for Medicare & Medicaid Services (CMS) recently participated in the 2018 Healthcare Information and Management Systems Society (HIMSS) Annual Conference & Exhibition in Las Vegas from March 5-9, 2018.CMS has posted the presentations from HIMSS18

IMPACT Act Transfer of Health measures: Public Comment Period- Ends May 3

The Centers for Medicare & Medicaid Services (CMS) has contracted with RTI International and Abt Associates to develop cross-setting post-acute care transfer of health information and care preferences quality measures in alignment with the Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act). As part of its measure development process, CMS requests interested parties to submit comments on two draft measure specifications:

  • Medication Profile Transferred to Provider
  • Medication Profile Transferred to Patient
The call for public comment period closes on May 3, 2018. View the public comment webpage for more information.

March 6, 2018

CMS NEWS: Trump Administration Announces MyHealthEData Initiative to Put Patients at the Center of the US Healthcare System

Today, Centers for Medicare & Medicaid Services (CMS) Administrator Seema Verma announced a new Trump Administration initiative – MyHealthEData – to empower patients by giving them control of their healthcare data, and allowing it to follow them through their healthcare journey.

To view a fact sheet with more information, visit:CMS Website

March 1, 2018

January 2018 Medicaid & CHIP Eligibility and Enrollment Report

The Centers for Medicare & Medicaid Services (CMS) released the January 2018 monthly report on state Medicaid and Children's Health Insurance Program (CHIP) eligibility and enrollment data.

Patients over Paperwork Newsletter

The February Patients over Paperwork newsletter discusses the new Meaningful Measures Initiative, field visits for feedback from providers, as well as the latest documentation review improvements:

  • Supplier use of bar codes to track Certificates of Medical Necessity
  • Teaching physician verification of student medical record documentation
  • Physician delegation of documentation requirements
  • Skilled nursing facility: Streamlined process for Advanced Beneficiary Notice
Learn more about Patients over Paperwork, and view past editions of this newsletter. Visit the Simplifying Documentation Requirements webpage for previous updates, and find out how to submit an idea.

February 28, 2018

The Affordable Care Act Federal Upper Limits Have Been Updated

The updated Affordable Care Act Federal Upper Limits (FUL) calculated in accordance with the Medicaid Covered Outpatient Drug final rule with comment are now available on the Medicaid.gov website at https://www.medicaid.gov/medicaid/prescription-drugs/pharmacy-pricing/index.html. States will have up to 30 days from the March 1, 2018 effective date to implement these updated FULs.

December 2017 Medicaid & CHIP Eligibility and Enrollment Report

Today the Centers for Medicare & Medicaid Services (CMS) released the December 2017 monthly report on state Medicaid and Children's Health Insurance Program (CHIP) eligibility and enrollment data. The report is available here.

February 20, 2018

Dementia Care: Person-Centered Care Planning and Practice Recommendations Call — March 20

National Partnership to Improve Dementia Care and Quality Assurance Performance Improvement Tuesday, March 20 from 1:30 to 3 pm ET

Register for Medicare Learning Network events.

During this call, gain insight on the phase two changes for person-centered care planning and discharge planning. Also, learn about the new Alzheimer’s Association Dementia Care Practice Recommendations. Additionally, CMS shares updates on the progress of the National Partnership to Improve Dementia Care in Nursing Homes. A question and answer session follows the presentations.

DMEPOS Information for Pharmacies Fact Sheet — Reminder

A revised DMEPOS Information for Pharmacies Fact Sheet is available. Learn about:

  • Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) accreditation exemption
  • Accreditation requirements for a new pharmacy and change of ownership

February 15, 2018

Beneficiaries in Custody under a Penal Authority Fact Sheet — Reminder

The Beneficiaries in Custody under a Penal Authority Fact Sheet is available. Learn about:

  • Medicare policy, claims processing, and appeals
  • Determining whether a Medicare beneficiary is in custody under a penal statute or rule
  • Social Security Administration policy

CMS Office of the Actuary releases 2017-2026 Projections of National Health Expenditures

National health expenditure growth is expected to average 5.5 percent annually over 2017-2026, according to a report published today as an “Ahead Of Print” by Health Affairs and authored by the Office of the Actuary at the Centers for Medicare & Medicaid Services (CMS).

February 8, 2018

Medicare Part B Immunization Billing Educational Tool — Reminder

The Medicare Part B Immunization Billing Educational Tool is available. Learn about:

  • Administration and diagnosis codes
  • Vaccine codes and descriptors
  • FAQs
  • February 5, 2018

    Multiple open door forums scheduled for Bundled Payments for Care Improvement Advanced model

    CMS recently announced the launch of a new voluntary bundled payment model called Bundled Payments for Care Improvement Advanced (BPCI Advanced). In BPCI Advanced, participants will be expected to redesign care delivery to keep Medicare expenditures within a defined budget while maintaining or improving performance on specific quality measures.

    The CMS Innovation Center will be holding a second Open Door Forum to answer questions regarding the BPCI Advanced Model and the Application Process on Thursday, February 15, 2018 from 12 pm – 1 pm EST. This event is open to those who are interested in learning more about the model. Additional information and registration access are now available. The audio file and transcript of the first Open Door Forum held on January 30th is now available.

    AAPM Table Published

    Today, the Centers for Medicare and Medicaid Services (CMS) published a table displaying the Alternative Payment Models (APMs) that CMS operates. In the table CMS identifies which of those APMs CMS has determined to be MIPS APMs or Advanced APMs. We will modify this list based on changes in the designs of APMs or the announcement of new APMs.

    Hospice QRP Resource Documents Now Available

    HQRP Fiscal Year 2020 Requirements Fact Sheet Now Available

    This fact sheet outlines specific compliance requirements for Hospice Item Set (HIS) and Consumer Assessment of Healthcare Providers and Systems (CAHPS®) for the Fiscal Year 2020 reporting year (data collection period 1/1/18 -12/31/18), to support providers in compliance with HQRP requirements.

    February 1, 2018

    CMS proposes Medicare Advantage and Part D payment and policy updates to provide new benefits for enrollees, new protections to combat opioid crisis

    Today, the Centers for Medicare & Medicaid Services (CMS) released proposed changes for the Medicare health and drug programs in 2019 that increase flexibility in Medicare Advantage that will allow more options and new benefits to Medicare beneficiaries, meeting their unique health needs and improving their quality of life. Furthermore, the proposal includes important new steps to ensure new patient-doctor-plan communication in combatting the opioid crisis.

    fact sheet on the 2019 Advance Notice, Part II, and the Draft Call Letter

    January 25, 2018

    The Affordable Care Act Federal Upper Limits Have Been Updated

    The updated Affordable Care Act Federal upper limits (FUL) calculated in accordance with the Medicaid Covered Outpatient Drug final rule with comment are now available on the Medicaid.gov website here.

    January 11, 2018

    Medicare-Required SNF PPS Assessments Educational Tool — Revised

    A revised Medicare-Required SNF PPS Assessments Educational Tool is available.

    January 9, 2018

    CMS announces new payment model to improve quality, coordination, and cost-effectiveness for both inpatient and outpatient care

    Today, the Centers for Medicare & Medicaid Services (CMS) Center for Medicare and Medicaid Innovation (Innovation Center) announced the launch of a new voluntary bundled payment model called Bundled Payments for Care Improvement Advanced (BPCI Advanced). Under traditional fee-for-service payment, Medicare pays providers for each individual service they perform. Under this bundled payment model, participants can earn additional payment if all expenditures for a beneficiary’s episode of care are under a spending target that factors in quality.

    See CMS News Release

    January 4, 2018

    Are You Prepared for a Health Care Emergency?

    HHS offers a comprehensive national knowledge center about emergency preparedness for health care, public health, and disaster clinical practitioners. Sign up to receive monthly Express and quarterly Exchange newsletters from the Office of the Assistant Secretary for Preparedness and Response (ASPR) Technical Resources, Assistance Center, and Information Exchange (TRACIE) that highlight new and trending emergency preparedness resources.

    Dementia Care Call: Audio Recording and Transcript — New

    An audio recording and transcript are available for the December 14 call on the National Partnership to Improve Dementia Care in Nursing Homes and Quality Assurance Performance Improvement (QAPI). Learn how to work with physicians to ensure compliance with the new psychotropic medication prescribing requirements for long-term care facilities. Also, find out how nursing homes are putting the new QAPI requirements into practice.

    December 28, 2017

    The Affordable Care Act Federal Upper Limits Have Been Updated

    The updated Affordable Care Act Federal Upper Limits (FUL) calculated in accordance with the Medicaid Covered Outpatient Drug final rule with comment are now available on the Medicaid.gov website. States will have up to 30 days from the January 1, 2018 effective date to implement these updated FULs.

    December 19, 2017

    October 2017 Medicaid & CHIP Eligibility and Enrollment Report

    The Centers for Medicare & Medicaid Services (CMS) released the October 2017 monthly report on state Medicaid and Children's Health Insurance Program (CHIP) eligibility and enrollment data.

    December 6, 2017

    CMS Office of the Actuary Releases 2016 National Health Expenditures

    In 2016, overall national health spending increased 4.3 percent following 5.8 percent growth in 2015, according to a study by the Office of the Actuary at the Centers for Medicare & Medicaid Services (CMS) published today as a Web First by Health Affairs. Following Affordable Care Act (ACA) coverage expansion and significant retail prescription drug spending growth in 2014 and 2015, health care spending growth decelerated in 2016. The report concludes that the 2016 expenditure slowdown was broadly based as growth for all major payers (private health insurance, Medicare, and Medicaid) and goods and service categories (hospitals, physician and clinical services, and retail prescription drugs) slowed in 2016.

    November 30, 2017

    CMS finalizes changes to the Comprehensive Care for Joint Replacement Model

    The Centers for Medicare & Medicaid Services (CMS) finalized the cancellation of the mandatory hip fracture and cardiac bundled payment models that were to be operated by the CMS Innovation Center and implemented changes to the Comprehensive Care for Joint Replacement (CJR) Model. These changes will offer greater flexibility and choice for hospitals in providing care to Medicare patients.

    technical fact sheet on the changes in this final rule

    November 29, 2017

    CMS posts update of Medicare Part D Opioid Prescribing Mapping Tool

    Today, the Centers for Medicare & Medicaid Services (CMS) released an updated version of the Medicare Part D opioid prescribing mapping tool. The mapping tool is an interactive, web-based visualization resource that presents geographic comparisons- at the state, county, and ZIP code levels - of Medicare Part D opioid prescribing rates. It allows users to understand and compare opioid prescribing at the local level and better understand how this critical issue affects communities across the country.

    November 22 2017

    IMPACT Act Special Open Door Forum — December 12

    Tuesday, December 12 from 2 to 3 pm ET

    This Special Open Door Forum (SODF) provides information and solicits feedback on the Improving Medicare Post-Acute Care Transformation Act of 2014

    • Update on RAND's national field test launch
    • Planned stakeholder engagement activities for 2018
    • Ways to remain engaged and informed during the upcoming year

    View the announcement for more information.

    September 2017 Medicaid & CHIP Eligibility and Enrollment Report

    The Centers for Medicare & Medicaid Services (CMS) released the September 2017 monthly report on state Medicaid and Children's Health Insurance Program (CHIP) eligibility and enrollment data.

    November 9, 2017

    Medicare Diabetes Prevention Program (MDPP) expanded model starting in 2018

    The Medicare Diabetes Prevention Program (MDPP) expanded model is a structured behavior change intervention that aims to prevent the onset of type 2 diabetes among Medicare beneficiaries with an indication of prediabetes. This model is an expansion of the Diabetes Prevention Program (DPP) model test, which was tested through the Center for Medicare and Medicaid Innovation’s Health Care Innovation Awards.

    The newest phase of the program will begin April 1, 2018. See the Fact Sheet from CMS

    For more information, see the Diabetes Prevention Program webpage at CMS

    Quality Payment Program Resources in New Location on CMS.gov

    To make it easier for clinicians to search and find information on the Quality Payment Program, CMS has moved its library of Quality Payment Program resources to CMS.gov. Clinicians will be able to search the library for Quality Payment Program resources by title, topic, or year.

    Resources include fact sheets, user guides, and other materials to help clinicians successfully participate in the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs) in 2017.

    CMS has posted the the Medicaid Drug Utilization Review State Comparison/Summary Report for FFY 2016

    CMS has posted the FFY 2016 Drug Utilization Review (DUR) Annual State Reports,along with the State Comparison/Summary Report for FFY 2016

    To help address the opioid abuse epidemic, please note that states have actively implemented several management control measures such as: using quantity limits and days supply limits for short-acting and long-acting opiates, applying statewide prescription drug monitoring programs and utilizing morphine daily dose alerts to prevent drug overdose.

    Verma Outlines Vision for Medicaid

    Centers for Medicare & Medicaid Services (CMS) Administrator Seema Verma discussed her vision for the future of Medicaid and unveiled new CMS policies that encourage states to propose innovative Medicaid reforms, reduce federal regulatory burdens, increase efficiency, and promote transparency and accountability during a plenary session at the National Association of Medicaid Directors (NAMD) Fall Conference in Arlington, Virginia.

    November 2, 2017

    Home Health Agency Payment Update

    On November 1, CMS issued a final rule that updates the CY 2018 Medicare payment rates and the wage index for Home Health Agencies (HHAs) serving Medicare beneficiaries. The rule also finalizes proposals for the Home Health Value-Based Purchasing Model and the Home Health Quality Reporting Program.

    Final Rule

    CMS Fact Sheet

    October 31, 2017

    August 2017 Medicaid & CHIP Eligibility and Enrollment Report

    The Centers for Medicare & Medicaid Services (CMS) released the August 2017 monthly report on state Medicaid and Children's Health Insurance Program (CHIP) eligibility and enrollment data. The full report is available on Medicaid.gov

    The Affordable Care Act Federal Upper Limits Have Been Updated

    The updated Affordable Care Act Federal Upper Limits (FUL) calculated in accordance with the Medicaid Covered Outpatient Drug final rule with comment are now available on the Medicaid.gov website here. States will have up to 30 days from the November 1, 2017 effective date to implement these updated FULs.

    October 12, 2017

    Annual Reassignments for Certain Low-Income Subsidy Eligible Individuals

    the Centers for Medicare & Medicaid Services (CMS) released an informational bulletin to provide an update on the next steps in the processes reassignments for certain low-income subsidy (LIS)-eligible individuals. The bulletin provides information to ensure that states understand their role in ensuring that dual eligible beneficiaries have timely, affordable, and comprehensive coverage under the Medicare Part D prescription drug benefit.

    October 5, 2017

    National Partnership to Improve Dementia Care Achieves Goals to Reduce Unnecessary Antipsychotic Medications in Nursing Homes

    On October 2, the National Partnership to Improve Dementia Care announced that it met its goal of reducing the national prevalence of antipsychotic use in long-stay nursing home residents by 30 percent by the end of 2016. It also announced a new goal of a 15 percent reduction by the end of 2019 for long-stay residents in those homes with currently limited reduction rates. Nursing homes with low rates of antipsychotic medication use are encouraged to continue their efforts and maintain their success.

    Fact sheet

    Extension of Medicare IVIG Demonstration through December 31, 2020

    The Medicare Intravenous Immune Globulin (IVIG) Demonstration, scheduled to end on September 30, 2017, is extended through December 31, 2020:

    • Beneficiaries enrolled as of September 30, 2017 do not need to re-enroll
    • New beneficiaries can enroll in accordance with the demonstration procedures
    For information, visit the IVIG Demonstration webpage.

    SNF QRP: Quick Reference Guide Now Available

    A Quick Reference Guide for the SNF QRP is now available on the SNF Quality Reporting Program Data Submission Deadlines webpage. The guide includes frequently asked questions, information on QRP help desks, and helpful links to additional resources for the SNF QRP.

    IMPACT Act Audio Recording and Transcripts Available

    An audio recording and transcript are posted for the August 17 call on IMPACT Act: Drug Regimen Review Measure Overview for the Home Health Quality Reporting Program.

    An audio recording and transcript are posted for the September 06 call on IMPACT Act: Medicare Spending Per Beneficiary Measures.

    September 29, 2017

    The Affordable Care Act Federal Upper Limits Have Been Updated

    The updated Affordable Care Act Federal upper limits (FUL) calculated in accordance with the Medicaid Covered Outpatient Drug final rule with comment are now available on the Medicaid.gov website States will have up to 30 days from the October 1, 2017 effective date to implement these updated FULs.

    2017-2018 Influenza Resources for Health Care Professionals MLN Matters® Article — New

    An MLN Matters Special Edition Article on 2017-2018 Influenza (Flu) Resources for Health Care Professionals is available. Learn about codes and payment rates for influenza and pneumococcal vaccines.

    Nursing Home Call: Audio Recording and Transcript — New

    An audio recording, transcript, and clarification are available for the September 7 call for nursing homes. Learn about the new Facility Assessment Tool to help identify and develop the specific assessment of your facility. Also, find out about frequently asked questions related to revision of the State Operations Manual Appendix PP.

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