Fact Sheet – Medicare Home Health Coverage In Light of Jimmo v. Sebelius
With support from the John A. Hartford Foundation, the Center for Medicare Advocacy provides the following Fact Sheet to help Medicare home health beneficiaries and their families respond to unfair...
View ArticleMedicare Home Health Coverage is Not a Short Term Benefit ‒ Congress...
In 1997 Congress specifically recognized that Medicare home care was not a short term, acute care benefit and addressed payment methodologies under Parts A and B to meet the costs of longer-term home...
View ArticleHome Health Highlight: People Can Leave Home and Still Receive...
The Center for Medicare Advocacy hears from Medicare beneficiaries throughout the country who are living with serious illnesses and injuries without the home care they need – and that should be covered...
View ArticleHome Health Pre-Claim Review Demonstration Model, Take Two
In April 2017, the Centers for Medicare and Medicaid Services (CMS) abandoned a multi-state Medicare Pre-Claim Review Demonstration Model that had so many flaws it never made it out of the initial...
View ArticleMedicare Home Health Rules Proposed by CMS to “Improve Access to Solutions”...
The announcement on July 2, 2018, that CMS seeks to “modernize” Medicare home health care is filled with patient-oriented rhetoric, but will actually further gut the Medicare home health benefit –...
View ArticleProposed Home Health Rule Affirms Medicare Coverage and Payment for Patients...
In the proposed rule, published in the Federal Register on July 12, 2018[1], CMS confirms that a patient’s condition does not need to improve for home health care to be covered by Medicare. CMS also...
View ArticleStatistical Trends and Published Articles with Studies and Research from...
This is part nine of a ten-part CMA Issue Brief Series examining the growing crisis in access to Medicare home health coverage and necessary care – and outlining the Center for Medicare Advocacy’s work...
View ArticleRe-Review of Some Home Health Denials Now Available
In January, Vermont Legal Aid and the Center for Medicare Advocacy settled a case on behalf of Medicare beneficiaries in the six New England states and New York who had had been denied coverage of home...
View ArticleCenter Comments on Harmful Proposed Home Health Rule
The Center for Medicare Advocacy (the Center) submitted comments to the Centers for Medicare and Medicaid Services (CMS) about the devastating impact a proposed rule will have on access to Medicare...
View ArticleNew Checklist for Medicare Home Health Care “Improvement Standard” Denials
With support from the John A. Hartford Foundation, the Center for Medicare Advocacy has produced a new Checklist to help Medicare beneficiaries and their families respond to unfair Medicare denials for...
View ArticlePlans to Address and Resolve the Medicare Home Care Crisis
This is Part Ten of a ten-part CMA Issue Brief Series examining the growing crisis in access to Medicare home health coverage and necessary care – and outlining the Center for Medicare Advocacy’s work...
View ArticleHome Health Issue Brief
Since 2017 the Center for Medicare Advocacy has been writing and disseminating a ten-part Home Health Issue Brief Series examining the growing crisis in access to Medicare-covered home health care, and...
View ArticleHome Health Aide Coverage Continues to Shrink in Traditional Medicare While...
For years the Center for Medicare Advocacy and other stakeholders have advocated for Medicare coverage for home health aides without the current prerequisites that the individual be homebound and...
View ArticleSuccessful Advocacy for Home Health Beneficiary in Need of Maintenance...
Mrs. R contacted the Center for Medicare Advocacy about her husband, who has ALS, and was told his home health physical therapy was about to be terminated. While receiving physical therapy, Mr. R had...
View ArticleHome Health Telephone Survey
As part of a project supported by the Ossen Family Foundation, Center for Medicare Advocacy staff recently called the 16 home health agencies that, according to Medicare’s Home Health Compare tool,...
View ArticleCobertura De Medicare Para Salud Domiciliaria
¿QUÉ SE NECESITA PARA CALIFICAR PARA COBERTURA DE SALUD DOMICILIARIA DE MEDICARE? El paciente debe ser confinado. (Esto no significa que el paciente nunca puede salir de su hogar. Por ejemplo, los...
View ArticleMedicare Home Health Coverage Booklet
WHAT IS NEEDED TO QUALIFY FOR MEDICARE HOME HEALTH COVERAGE? The patient must be homebound. (This does not mean the patient can never leave home. For example, patients can leave home occasionally, go...
View ArticleKeep Medicare Home Health Care an Age-Friendly Benefit
– Join us for Our Medicare Home Health Webinar · January 23 at 3pm EST– Guest Speaker: Physical Therapist Cindy Krafft, PT, MS Last week, the Center for Medicare Advocacy laid out our Medicare Platform...
View ArticleCase Spotlight: A Medicare Beneficiary in Need of Home Health Aides
The Problem Mrs. B contacted the Center for Medicare Advocacy seeking assistance with Medicare home health coverage. She lives with her husband who has advanced Parkinson’s disease. He receives...
View ArticleHome Health Aide Coverage Continues to Shrink: Attention Must Be Paid
As we have reported in the past, the ability to get Medicare-covered home health aide care has greatly declined in recent years. This is true even when individuals meet the law’s homebound and skilled...
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