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Authors Posts by Melissa Dehoff

Melissa Dehoff

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Melissa Dehoff is responsible for all medical rehabilitation and brain injury service issues. Ms. Dehoff attends multiple state-level meetings to advocate on behalf of members on brain injury and rehabilitation issues and is a member of the Department of Health Traumatic Brain Injury Advisory Board.

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Image by Markus Winkler from Pixabay

The Centers for Medicare and Medicaid Services (CMS) will host the next hospital/quality initiative (QI) open door forum call tomorrow, September 10, at 2:00 pm. Agenda topics for this call will include:

  • FY 2025 Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital Prospective Payment System (LTCH PPS) Final Rule CMS-1808-F
  • FY 2025 Inpatient Psychiatric Facilities PPS Final Rule
  • Open Question and Answer

The call will be held via Zoom webinar. Attendees must register in advance for this webinar. Register here. After registering, you will receive a confirmation email containing information about joining the webinar.

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The Centers for Medicare and Medicaid Services (CMS) has issued a Request for Information (RFI) to obtain feedback from both the industry and the public about the potential consolidation of four Medicare Administrative Contractors (MAC) jurisdictions into two jurisdictions, as well as to obtain feedback on extending MAC contracts to ten years.

MACs are private health care insurers that have been awarded a geographic jurisdiction to process Medicare Part A and Part B medical claims or Durable Medical Equipment (DME) claims for people with Traditional fee-for-service (FFS) Medicare. Information on the role of MACs can be found here.

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The Brain Injury Association of America (BIAA) recently shared information on a live Question & Answer (Q&A) session with the Brain Injury Specialists who manage the National Brain Injury Information Center (NBIIC) on September 13, 2024, at 1:00 pm. Greg Ayotte, CBIST, and Heather Matty, CBIS, will discuss the latest developments in brain injury research, how you can participate in research studies, and more.

If you have a question about brain injury research that you would like to have answered during this event, members are encouraged to submit it here, followed by filling out the form on the page.

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The Centers for Medicare and Medicaid Services (CMS) has released an informational bulletin, as well as a slide presentation, that are related to continuity of coverage for individuals receiving home and community-based services (HCBS). The purpose of the bulletin is to highlight the federal renewal requirements and available flexibilities to promote continuity of coverage.

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Caregiver supporting sick elderly man in the wheelchair during stay in the hospice

An Elder Boom is Coming, Are We Ready to Care for the Aged?
Geoff Gross, Philadelphia, founder and CEO of Medical Guardian

Aging adults are at the center of many strategic conversations lately and I hope that continues. According to the Pennsylvania Department of Aging, the population of Pennsylvanians aged 60 and over is projected to surpass 3.8 million by 2030 — the fifth highest in the country — accounting for one in three Pennsylvanians. Soon, older Pennsylvanians are expected to outnumber every other age group which is unprecedented in U.S. history, according to the Population Reference Bureau (PRB).

This dramatic demographic shift impacts strategic planning and product development in all industries from housing, to health care, and beyond. How older adults are living is also shifting. Instead of slowing down, aging adults are demonstrating that aging can be an exciting period of growth, reinvention and maintained independence. This shift in lifestyle also requires a deep rethinking of how to support older adults.

Fortunately for Pennsylvanians, Governor Shapiro’s strategic plan for older adults, Aging Our Way, proposes strategies to bring together services and investments from 29 different commonwealth agencies in new ways that address the shifting needs of this growing population. But we can’t stop with a plan; it needs funding, voices and ambassadors to ensure it goes into action so that Pennsylvania’s largest population is taken care of.

I encourage you to reach out to your legislators and ask them to support funding, planning and programming for our older adults. It is time to invest in those who got us through some of the most challenging times in our country’s history. It is time that we care for, engage with and uplift Pennsylvania’s — and all — older Americans.

Read the full article here.

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Novitas Solutions, Medicare Administrative Contractor (MAC) for Pennsylvania, continues to release inpatient rehabilitation facility review choice demonstration (IRF RCD) program updates, resources, upcoming educational opportunities, and important deadlines as IRFs in PA go through this implementation process.

Included in their most recent updates is:

  • Updated Frequently Asked Questions (FAQs)
  • An upcoming educational opportunity
    IRF RCD: Cycle 1 Progress — October 2, 2024, 1:00 pm – 2:30 pm
    Registration will be released soon and will be available here.

IRF RCD was initially implemented in Alabama in 2023, with the second round being implemented in Pennsylvania on June 17, 2024. The Centers for Medicare and Medicaid Services (CMS) created this process to ensure Medicare coverage and documentation requirements are likely met. This program reduces the number of Medicare appeals, improves provider compliance with Medicare program rules, does not alter the Medicare IRF benefit, and should not delay medically necessary care to Medicare beneficiaries.

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The meeting documents from the August 7 Long-Term Services and Supports (LTSS) Subcommittee meeting are now available. These documents include the transcript and PowerPoint presentations. You can view them below:

The next LTSS Subcommittee meeting is scheduled for September 4, 2024, from 10:00 am – 1:00 pm in the PA Department of Education’s Honors Suite at 333 Market St. in Harrisburg, PA. The option to participate via webinar is also available.

To participate in the meeting via webinar, please register here. After registering, you will receive a confirmation email containing information about joining the webinar. If you plan to participate via phone, the dial-in number is: 613-992-3221; Access Code: 953 985 828#.

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The Office of Long-Term Living (OLTL) has announced they will be hosting Transportation Summit 3 (via Zoom) on September 17, 2024, from 9:00 am – 12:00 pm.

The Transportation Summit is an open forum for anyone interested in discussing transportation-related issues in the Community HealthChoices (CHC) Program. There will be staff from various programs on the call, including the managed care organizations (MCO) and transportation brokers, Medical Assistance Transportation Program (MATP), and the Pennsylvania Department of Transportation (PennDOT). They will be on the call to listen to feedback and answer questions as they can.

During the webinar, there will be three ways for individuals to ask questions.

  1. You can submit your questions to OLTL in advance by emailing Cortney Alvord.
  2. They can be read during the meeting, where you will use the “Raise Hand” feature during the meeting, be unmuted, and ask your question.
  3. You can type your question into the “Chat” box located on the right side of your screen during the meeting.

To participate in the Transportation Summit, please register using this registration link. After registering, you will receive a confirmation email containing information about joining the meeting.

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