Durable Medical Equipment (DME)

Webinar Reminder: Working with Medicare | Coordination of Medicare and Medicaid Behavioral Health Benefits

Join us for an Integrated Care Resource Center (ICRC) Working with Medicare webinar on Coordination of Medicare and Medicaid Behavioral Health Benefits to be held on April 15, 2020 from 12:30-1:30 pm ET. This webinar will provide an overview of Medicare and Medicaid behavioral health benefits (including mental health and substance use disorder benefits) for dually eligible individuals and opportunities to improve coordination in integrated care programs.

States’ Medicaid Fee-for-Service Durable Medical Equipment Payment Policies

To better inform analysis of existing policies and development of future policies that affect Medicaid payments, the Medicaid and CHIP Payment and Access Commission (MACPAC) released a compendium of each state’s fee-forservice DME policies along with a companion issue brief summarizing payment and coverage policies and issues.

Strategies to Support Dually Eligible Individuals’ Access to Durable Medical Equipment, Prosthetics, Orthotics, and Supplies

This Centers for Medicare & Medicaid Services (CMS) Informational Bulletin provides an additional strategy for states to support timely access to durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) for people dually eligible for Medicaid and Medicare. The Informational Bulletin clarifies that states do not need to require a Medicare denial for DMEPOS that Medicare routinely denies as non-covered under the Medicare DME benefit.

Integrated Care Updates - August 2019

August 2019 Contents:

  • New ICRC Brief on Implementation of D-SNP Information Sharing Requirements
  • CMS Releases New Proposed Rule on Durable Medical Equipment
  • CMS Report on State Balancing of Medicaid Long-Term Services and Supports
  • MACPAC Releases Compendium of State Fee-for-Service DME Polices
  • August 2019 Enrollment in Medicare-Medicaid Plans
  • August 2019 Enrollment in PACE Organizations
  • New Resources on the ICRC Website
  • Key Upcoming Dates

Building a Stronger Foundation for Medicare- Medicaid Integration: Opportunities in Modifying State Administrative Processes

This brief describes several administrative changes that state Medicaid programs can make to: (1) support integration efforts; (2) improve beneficiaries’ experience of care; (3) decrease beneficiary out-of-pocket costs; and (4) reduce provider burden. Taking the steps described in this brief may help states build stronger, more effective integrated care programs and better position them to implement larger-scale integration efforts for their dually eligible populations.

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