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07.14.21
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Past issues are available in the Media Library.
Parson Approves New State Laws
MHA Releases CAH And Prospective Payment System Rate Comparison
MO HealthNet Issues Guidance On Outpatient Fee Schedule That Takes Effect July 20
MO HealthNet Announces Increase In ABA Rates, Reimbursement For Mobile Behavioral Health Care
CMS Releases Proposed CY 2022 Medicare PFS Payment And Policy Updates
MIMH Hosts Seminar On Team-Based Approaches To SUD Services And Sustainability
CMS Moves FY 2022 HAC Reduction Program Review And Correction Period
CMS Announces OQR Education Session
Dr. Paul Offit To Present At Upcoming Show-Me ECHO
One-Stop Staffing Resource for Missouri Hospitals
Thursday, July 22
Register on or before Wednesday, July 21.
For a complete list of events, view MHA’s calendar.
Staff Contact: Daniel Landon or Rob Monsees
Gov. Parson signed into law three bills enacted in the 2021 state legislative session, which include House Bill 432, Senate Bill 53 and Senate Bill 26. The bills include various health care changes, as described in an excerpt from MHA’s issue brief summarizing the legislative session. Today is the final day for the governor to act on bills from the 2021 session.
Staff Contact: Andrew Wheeler
MHA published an analysis comparing how Medicare payments may be affected if critical access hospitals currently reimbursed based on cost were instead paid prospectively. The information is intended to be used for advocacy purposes. Policy and analytic studies, prepared for distribution by the Hospital Industry Data Institute, are available for download to authorized users of HIDI Analytic Advantage.
Staff Contact: Kim Duggan or Brian Kinkade
The MO HealthNet Division issued guidance on the simplified outpatient fee schedule, which takes effect for services rendered on and after Tuesday, July 20. Last week, MHA reported on MHD’s filing of an emergency rule on July 8, which allows for the reimbursement change to be put into effect immediately. The fee schedule is applicable to MO HealthNet fee-for-service participants, and hospitals must refer to their managed care provider agreements to determine if and how the fee schedule will be used for MO HealthNet managed care reimbursement. The imposition of the fee schedule does not extend to the managed care “directed payments” change, which is on hold pending resolution of MHA’s lawsuit against MHD challenging the state’s attempt to forego rulemaking for the new payment methodology.
Staff Contact: Brian Kinkade
The MO HealthNet Division increased reimbursement for applied behavioral analysis services delivered by assistant behavior analysts and registered behavior technicians for dates of service on and after July 1. Services provided by assistant behavior analysts currently reimbursed at $7.70 to $14.40 per unit are increased to $16.12 per unit. Services delivered by RBTs are increased from $7.70 per unit to $9.50 per unit.
In addition, MHD announced that it will cover medically necessary behavioral health services provided in a mobile unit effective July 1. The Centers for Medicare & Medicaid Services defines a mobile unit as “a facility/unit that moves from place-to-place equipped to provide preventive, screening, diagnostic and/or treatment services.”
Staff Contact: Andrew Wheeler
The Centers for Medicare & Medicaid Services released the Medicare calendar year 2022 proposed payment and policy updates for the physician fee schedule. CMS is “proposing changes to address the widening gap in health equity highlighted by the COVID-19 Public Health Emergency and to expand access to comprehensive care.” Comments must be received by 4 p.m. Monday, Sept. 13. The following are major proposals.
Staff Contact: Shawn Billings or Kaylen Payne
The Missouri Institute of Mental Health is hosting a complimentary seminar, “Interprofessional Team-Based Approaches to Substance Use Disorder Services and Sustainability,” from 1 to 4 p.m. Thursday, July 22. The program will be held virtually and will feature information on clinical care in a medication first model, approaches to administrative leadership and interagency collaboration in Missouri. SUD treatment providers, social workers, program administrators and other health care professionals are encouraged to attend.
Staff Contact: Sherry Buschjost
The Centers for Medicare & Medicaid Services announced that the start of the review and correction period for the fiscal year 2022 30-day Hospital-Acquired Condition Reduction Program will move from July 2022 to August 2022. During the review and correction period, hospitals can review their HAC Reduction Program data as reflected in the Hospital-Specific Reports, submit questions about the calculation of their results and request corrections. The period begins when hospitals receive their HSR via the Hospital Quality Reporting System Managed File Transfer inbox.
This schedule update allows CMS time to respond to public comments on the program’s proposals in the FY 2022 Inpatient Prospective Payment System/Long-Term Care Hospital PPS proposed rule, and finalize program policies. The exact dates of the scoring calculations review and correction period will be announced through QualityNet listservs when HSRs are available.
Staff Contact: Sherry Buschjost
The Hospital Outpatient Quality Reporting Program webinar, “The Escape Room: The Search for Clues in Your Data Abstraction,” is scheduled at 1 p.m. Wednesday, July 21. This event was rescheduled from its original date of June 30. Registration information, as well as the webinar slides, are available on the Quality Reporting Center.
Staff Contact: Jessica Stultz
Dr. Paul Offit, Director of the Vaccine Education Center at Children’s Hospital of Philadelphia and an internationally recognized expert in the fields of virology and immunology, is a guest presenter during an upcoming COVID-19 ECHO taking place at noon on Monday, Aug. 2. Dr. Offit will discuss the current vaccine climate and offer expert guidance, as well as answer questions from the attendees. Please register to join the weekly COVID-19 ECHO to learn about timely topics and participate in discussions with subject matter experts across the state and nation.