This column, the seventeenth installment in a series designed to clarify standards expectations and provide strategies for life safety and environment of care compliance, discusses recent categorical waivers from the Centers for Medicare & Medicaid Services (CMS) for requirements in the 2000 edition of...
The proposed rule provides several wins for telehealth proponents; however, these wins may be moot if Congress fails to extend pandemic-era telehealth flexibilities beyond 2024. In 2022, Congress passeda $1.7 trillion spending billthat extended telehealth waivers — including ones that elim...
Any telehealth arrangements continuing beyond December 31, 2024, will need to be evaluated to determine whether they are compliant with the CMS coverage rules absent the PHE waivers. Moreover, healthcare providers should avoid entering into long-term telehealth arrangements that are dependent on the ...
which created expedited pathways to licensure for out-of-state physicians, while others implemented reciprocity waivers, allowing healthcare professionals with an active license in good standing in a state to practice in a different state without a license. During the pandemic, these...
for the expiration of these various regulatory flexibilities. Below are key changes that will impact physician organizations as the PHE and corresponding regulatory waivers terminate. This list is non-exhaustive and physician organizations are advised to review CMS and other agency guidanc...
1For example, many states received 1135 waivers related to provider enrollment in Medicaid, including waivers allowing for delays in provider revalidation and permitting provisional enrollment of providers that were already enrolled with Medicare or with another state’s Medicaid program. CMS...
Pandemic-specific licensure waivers. Every jurisdiction in the United States modified applicable state law in some way to facilitate providing care via telehealth during the COVID-19 pandemic. And while most waivers have lapsed, physicians should not assume that state licensure laws are waived without...
In fact, they approved several waivers to the company’s ethics code that allowed the crisis to escalate. Prof. O’Connor analyzes the board’s deliberations in her paper and concludes that groupthink psychology took hold. For years, the company was incredibly successful, and nobody wanted to ...
Laboratories are no longer required to report COVID-19 test positivity data after May 11. However, hospital data reporting will continue as required by the Centers for Medicare and Medicaid Services (CMS) through April 30, 2024. Emergency authority waivers and regulations used by CMS to expand ...
health plans and other at-risk entities given the importance of accurately risk adjusting a plan’s membership. The industry’s hope, at the time, was that CMS would build on its series of telehealth waivers from March to allow health plans to gather risk adjustment data through telehea...