FAQ – Medicare Advantage Plans

Question

Do Medicare Advantage (MA) plans pay for outpatient therapy and home health (not an outpatient home visit) concurrently?

Answer

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Question

If a Medicare Advantage (MA) plan is an HMO and we are enrolled with traditional Medicare, is the MA plan required to allow Medicare enrolled providers to treat their clients and pay for those therapy services?

Answer

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Question

If I am not in-network (not enrolled) with a Medicare Advantage (MA) plan, can I charge the patient my cash rate and just provide them with a bill or invoice that they can then submit to the MA plan and obtain whatever reimbursement the MA plan will reimburse them?

Answer

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Question

Does traditional Medicare’s “8-minute rule” automatically apply to all Medicare Advantage plans?

Answer

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Question

Do the traditional Medicare supervision requirements of therapy students also apply to Medicare Advantage plans and their respective beneficiaries?

Answer

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