02/14/17
Maintenance Therapy Update
On February 2, 2017, a federal judge ruling has ordered the Secretary of Health & Human Services to carry out a Corrective Action Plan to remedy the Department’s noncompliance with the Jimmo vs Sebelius Settlement agreement concerning the coverage and payment for maintenance therapy under the Medicare program. Per the Center for Medicare Advocacy, the judge ruled that the Corrective Action Plan will include a new CMS webpage dedicated to Jimmo, a published Corrective Statement disavowing the improvement standard, a posting of Frequently Asked Questions (FAQs), and new training for contractors making coverage decisions. In addition, and significantly, the Court
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