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Regulatory Updates 3/6/19

Federal Register Highlights DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 42 CFR Parts 406, 407, 422, 423, 431, 438, 457, 482, and 485 Office of the Secretary Medicare and Medicaid Programs; Patient Protection and Affordable Care Act; Interoperability and Patient Access for Medicare Advantage Organization and Medicaid Managed Care Plans, […]

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Legislative Update for the Week of 2/14/2019

Every week, hospice providers will be receiving a legislative update so you can be aware of what is going on in your respective states during the session. We hope that you will find this information helpful and inciteful. If you have any questions or would like more information, please contact Maxcine “Max” Tomlinson at: [email protected] […]

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Regulatory Updates for the week of 2/1/2019

NOT IN TEXAS! Designated Hospice Attending Physicians

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Regulatory Updates for the week of 1/25/19

Government Shutdown Update The Texas and New Mexico Hospice Organization has received calls regarding the effect of the federal government shutdown on hospice providers.  Please be aware that fiscal intermediary billing and payment, state survey and certification programs will continue.   Federal Register During the funding lapse, Federalregister.gov is not being supported. If data feeds […]

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Physician Assistants in Hospice? Not In Texas until HHSC Amends Rule

Texas Hospice Providers please note that the allowance for a physician assistant to be the attending physician, effective January 2019 will NOT be allowed until Texas Health and Human Services amends their rules!  Until such time, the stronger rule applies. Physician Assistants in Hospice On January 1, 2019, Physician Assistants were added to the list […]

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Regulatory Update 1/17/19

Government Shutdown Update The Texas and New Mexico Hospice Organization has received calls regarding the effect of the federal government shutdown on hospice providers.  Please be aware that fiscal intermediary billing and payment, state survey and certification programs will continue.   Federal Register During the funding lapse, Federalregister.gov is not being supported. If data feeds […]

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Regulatory Update 1/11/2019

Government Shutdown Update The Texas and New Mexico Hospice Organization has received calls regarding the effect of the federal government shutdown on hospice providers.  Please be aware that fiscal intermediary billing and payment, state survey and certification programs will continue.   Federal Register During the funding lapse, Federalregister.gov is not being supported. If data feeds […]

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Regulatory Updates 1/3/2019

 Government Shutdown Update The Texas and New Mexico Hospice Organization has received calls regarding the effect of the federal government shutdown on hospice providers.  Please be aware that fiscal intermediary billing and payment, state survey and certification programs will continue.   Federal Register During the funding lapse, Federalregister.gov is not being supported. If data feeds […]

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CAHPS News

CY 2018 Participation Exemption for Size Form Now Available
Provider Preview for CAHPS Hospice Survey Public Reporting began December 10

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Nurse Aides, Medication Aides and Denial or Refusal of License Rules Move!

Health and Human Services As part of the transformation of the HHS system, administrative rules for Chapter 94 Nurse Aides, Chapter 95 Medication Aides – Program Requirements, and Chapter 99 Denial or Refusal of License (long-term care providers) have been moved from Texas Administrative Code (TAC), Title 40, Part 1, Department of Aging and Disability […]

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MedPAC considers a draft recommendation that would reduce the fiscal year 2020 Medicare Payment Rate

In the December meeting of the Medicare Payment Advisory Commission (MedPAC), the MedPAC commissioners considered a draft recommendation that would reduce the fiscal year 2020 Medicare payment rate for hospice by two percent. In a press release, NHPCO President and CEO Edo Banach responds to the departure from recent years of MedPAC recommending a 0% […]

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Morphine Dose Limitations for Traditional Medicaid to Decrease in January, Provider Letter- Providing Access to Electronic Health Records, Advanced Certified Nurse Aide Academy, Coming Soon – PASRR in the Nursing Facility

Morphine Dose Limitations for Traditional Medicaid to Decrease in January, Provider Letter- Providing Access to Electronic Health Records, Advanced Certified Nurse Aide Academy, Coming Soon – PASRR in the Nursing Facility

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Target Probe and Educate (TPE)

Palmetto had scheduled a series of Medical Review Hot Topic Targeted Probe and Educate (TPE) Teleconferences in 2019. These calls are open to all providers.  Subject Matter Experts will discuss and answer your questions concerning current TPE process.

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Hospice Item Set Manual: New Version

The Hospice Item Set (HIS) Manual V2.01 is updated with refined guidance to clarify HIS coding instructions. Note: No updates were made to HIS items. Visit the HIS webpage for more information:  https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Hospice-Quality-Reporting/Downloads/HIS_Manual_V201.pdf.

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The Texas Board of Nursing adopts new §228.2, relating to Prescription Monitoring Program

Requires health care practitioners, including advanced practice registered nurses (APRNs), to access the Texas Prescription Monitoring Program (PMP) prior to prescribing or dispensing opioids, benzodiazepines, barbiturates, or carisoprodol. The bill further authorizes, but does not require, practitioners to access the PMP prior to prescribing or dispensing any controlled substance.

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Federal News and Information

Hospice Item Set Manual: New Version

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TX & NM Legislative Sessions are Ramping Up

Texas Legislative Update The Texas Legislative Session (86th) begins on January 8, 2019!  Bills have begun to be filed.  Texas and New Mexico Hospice Organization (TNMHO) will keep you informed via the Legislative Update on bills filed as they progress through the House and Senate.   New Mexico Legislative Update The New Mexican Legislative Session […]

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CMS Issues CY2019 Physician Fee Schedule Final Rule

Is an update to payment policies, payment rates and quality provisions for applies to updates to payment policies, payment rates, and quality provisions for services furnished on or after January 1, 2019. The payment policy applies to physicians and several other practitioners, including nurse practitioners, physician assistants, and physical therapists, as well as radiation therapy centers and independent diagnostic testing facilities.

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Advance Practice Registered Nurses prescriptive authority rules have been adopted by the Texas Board of Nursing! 

Advance Practice Registered Nurses prescriptive authority rules have been adopted by the Texas Board of Nursing!  The Texas Health and Safety Code was amended to require all providers who prescribe opioids, benzodiazepines, barbiturates, or carisoprodol to check the prescription monitoring program (PMP) before writing prescriptions for drugs in these categories.

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The FDA approved Dsuvia, an opioid that is 10 times more powerful than fentanyl and 1,000 times stronger than morphine.

FDA Commissioner Scott Gottlieb says the drug fills “a specific and important, but limited, unmet medical need in treating our nation’s soldiers on the battlefield.” The drug is administered under the tongue, which may have battlefield applications, and would not be available through pharmacies.

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