U.S. flag

An official website of the United States government

MA-20-0017

CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purposes of this amendment is to update Payment Methodologies for Certain Hospital, Community Health Centers, Physician, and coverage for mobile testing service done by EMTs during the COVID-19 Emergency period.

CMS MACBIS T-MSIS Reporting Reminder: Reporting ICD-10-CM Diagnosis Codes with clarification on “Z Codes” for Social Determinants of Health (SDOH)

ICD-10-CM diagnosis codes related to social determinants of health (SDOH), such as housing, employment, and food insecurity, range from Z55-Z65. These codes are a subset of “Z Codes” Z00-Z99 that are used to identify “factors influencing health status and contact with health services”. Use of SDOH “Z Code” data can help improve care coordination, patient experience, and health outcomes.

Collections:

READ PREVIOUS ARTICLE READ NEXT ARTICLE

MO-21-0008

Brings MO into compliance with the professional dispending fee requirement in the Covered Outpatient Drug final rule with comment period  (CMS-2345.FC)

NC-20-0015

This SPA proposes to add the provider’s gross amount due (GAD) to the reimbursement hierarchy for covered outpatient drugs.  This SPA also proposes to implement a new reimbursement methodology for Indian Health Services/Indian Tribal pharmacy facilities based on the OMB encounter rate, as well as adding a delivery payment for drugs delivery by mail, courier, or person-to-person.
Subscribe to