Monday Morning Rounds with CMS

ICYMI, here is recent communication from CMS.

Tomorrow!

Want to learn more about the States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model? Join a @MilbankFund webinar on 10/17, 2-3P ET, to learn about the model’s approach to health cost growth & #primarycare investment targets: https://t.co/HwZlzmc85i pic.twitter.com/VT11goi4q5

— CMS Innovation Ctr (@CMSinnovates) October 13, 2023

Save the date: tune in to the #2023LANSummit on 10/30 to hear from CMS Innovation Center leadership incl. Director @LizFowler_ about delivery system reform, #alternativepaymentmodel adoption, & #accountablecare. Sign up: https://t.co/y0pimSstrq pic.twitter.com/yROj54JNKr

— CMS Innovation Ctr (@CMSinnovates) October 12, 2023

Register now for the 2023 CMS Inaugural Conference on Optimizing Healthcare Delivery to Improve Patient Lives on 11/15. Hear from renowned speakers on improving the patient experience and reducing administrative burden. #CMS https://t.co/8nAweYVd2p pic.twitter.com/fBE0UdjrMp

— CMSGov (@CMSGov) October 11, 2023

#QPP deadline reminder: November 30 is the last day to register to report a #MIPS Value Pathway (MVP) for the 2023 performance year. Find out what you need in order to complete registration: https://t.co/1aFxx1QoLb pic.twitter.com/InYrdvSP0d

— CMSGov (@CMSGov) October 12, 2023

Individual #MIPS eligible clinicians located in certain counties of Hawaii will be automatically identified and have all 4 performance categories reweighted to 0%. Learn more about the Automatic Extreme and Uncontrollable Circumstances Policy: https://t.co/WVvqNyLOYE #QPP pic.twitter.com/c2EZUhcvLB

— CMSGov (@CMSGov) October 6, 2023

CMS Seeks Public Comment on Implementation of Mental Health Parity and Addiction Equity Requirements
CMS is working to help ensure that insurance coverage for mental health conditions, including substance use disorders, is no more restrictive than coverage for any other medical condition. The agency recently posted information and questions for public comment on potential improvements that could be made to Mental Health Parity and Addiction Equity (MHPAEA) requirements in Medicaid and the Children’s Health Insurance Program (CHIP) to address mental health coverage roadblocks. This request for comment will gather information to address concerns regarding compliance with MHPAEA requirements in Medicaid and CHIP. Comments must be submitted to the following email address by November 3rd, 2023, to receive full consideration: MedicaidandCHIP-Parity@cms.hhs.gov.

Remember: Even if your virtual group was approved for the 2023 #MIPS performance year, your group must still submit a virtual group election to CMS by December 31 for the 2024 #MIPS performance year. Learn more: https://t.co/ecyEN10viW #QPP pic.twitter.com/ooH7YEJSTZ

— CMSGov (@CMSGov) October 11, 2023

Looking for more information about what constitutes an electronic health care transaction and what standards apply under #HIPAA? Find resources and an overview here: https://t.co/Qp5bwumOY9 #AdminSimp pic.twitter.com/wDo2punM6l

— CMSGov (@CMSGov) October 9, 2023

Need clarification on the HHS-adopted operating rules that set requirements for conducting standard electronic health care transactions? We’ve answered some of the most frequently asked questions here: https://t.co/GYXBCwKXn2 #AdminSimp pic.twitter.com/sp0Z1Pctpp

— CMSGov (@CMSGov) October 6, 2023

Check out the Administrative Simplification website for materials and guidance on how to comply with Administrative Simplification requirements: https://t.co/cpOhAczmb4 #AdminSimp #HIPAA pic.twitter.com/pkblQEvIYA

— CMSGov (@CMSGov) October 13, 2023

• ICD-10 & Other Coding Revisions to National Coverage Determinations: October 2023 Update
• Limitation on Recoupment of Overpayments
• Inpatient & Long-Term Care Hospital Prospective Payment System: FY 2024 Changes
• Ambulatory Surgical Center Payment System: October 2023 Update
• DMEPOS Fee Schedule: October 2023 Quarterly Update
• Hospital Outpatient Prospective Payment System: October 2023 Update
• Changes to the Laboratory National Coverage Determination Edit Software: January 2024 Update
• Inpatient Psychiatric Facilities Prospective Payment System: FY 2024 Updates
• Clinical Laboratory Fee Schedule & Laboratory Services Reasonable Charge Payment: Quarterly Update
• Activation of Validation Edits for Providers with Multiple Service Locations — Revised

• RARCs, CARCs, Medicare Remit Easy Print, & PC Print: October Update
• ICD-10 Coordination & Maintenance Committee: Meeting Materials & Deadlines
• National Correct Coding Initiative: October Update
• Integrated Outpatient Code Editor: Version 24.3
• HCPCS Application Summaries & Coding Decisions: Non-Drug & Non-Biological Items and Services
• Home Health Prospective Payment System Grouper: October Update
• Updated ICD-10 Medicare Severity Diagnosis-Related Group Version 41
• HCPCS Application Summaries & Coding Decisions: Non-Drug & Non-Biological Items & Services
• New Place of Service Code 27 – Outreach Site/Street

Check out the 2nd annual evaluation report for Medicare Advantage (MA) Value-Based Insurance Design (VBID) Model-Phase II: https://t.co/oxNFkCxPO0. One key finding: the number of MA plans participating in VBID more than doubled between 2021 & 2022. pic.twitter.com/wnV7BgbTUO

— CMS Innovation Ctr (@CMSinnovates) October 10, 2023

Check out the new Medicare-Medicaid Financial Alignment Initiative (FAI) reports: https://t.co/28FD4LbgEK. They include the 3rd evaluation report for Ohio and the NY Intellectual and Developmental Disabilities demonstration as well as the Washington Actuarial report. pic.twitter.com/3o6tSA1P8n

— CMS Innovation Ctr (@CMSinnovates) October 5, 2023

#ICYMI we’re accepting applications for the forthcoming Making Care Primary (MCP) Model! Applications must be submitted to the web portal by 11:59 PM ET on 11/30/23. For more info & to apply visit: https://t.co/1lw2KiNp0m pic.twitter.com/l4sQNkjomf

— CMS Innovation Ctr (@CMSinnovates) October 3, 2023