Appropriate Use Criteria
Link to the Care Select Demo https://qcdsm.nationaldecisionsupport.com/
CMS announced it is granting exceptions from reporting requirements and extensions for clinicians and providers participating in Medicare quality reporting programs with respect to upcoming measure reporting and data submission for those programs. The action comes as part of the Trump Administration’s response to 2019 Novel Coronavirus (COVID-19)
CMS is implementing additional extreme and uncontrollable circumstances policy exceptions and extensions for upcoming measure reporting and data submission deadlines for several CMS programs. For those programs with data submission deadlines in April and May 2020, submission of those data will be optional, based on the facility’s choice to report.
CMS recognizes that quality measure data collection and reporting for services furnished during this time period may not be reflective of their true level of performance on measures such as cost, readmissions and patient experience during this time of emergency and seeks to hold organizations harmless for not submitting data during this period.
You can find a copy of the press release here: https://www.cms.gov/newsroom/press-releases/cms-announces-relief-clinicians-providers-hospitals-and-facilities-participating-quality-reporting
CMS will continue monitoring the developing COVID-19 situation and assess options to additional relief to clinicians, facilities, and their staff so they can focus on caring for patients.
This action, and earlier CMS actions in response to COVID-19, are part of the ongoing House Task Force efforts. To keep up with the important work the Task Force is doing in response to COVID-19, please visit www.coronavirus.gov. For a complete and updated list of CMS actions, and other information specific to CMS, please visit the Current Emergencies Webpage on CMS.Gov.
Centers for Medicare & Medicaid Services (CMS) has sent this Center for Medicare and Medicaid Innovation (CMMI) Update. To contact Centers for Medicare & Medicaid Services (CMS) go to our contact us page.
Medicaid Update Special Edition, issued by the New York State Department of Health, featuring Guidance for Telephonic Communication Services During a State of Emergency Related to Coronavirus Disease 2019 (COVID–19).
Today, the Centers for Medicare & Medicaid Services (CMS) is posting a fact sheet to the CMS.gov website to aid Medicare providers with information relating to the pricing of both the CDC and non CDC tests. You can find the fact sheet here: https://www.cms.gov/files/document/mac-covid-19-test-pricing.pdf
Additionally, CMS will be tweeting about this new information. Tweets can be found below. We encourage relevant stakeholders to retweet.
Earlier CMS actions in response to the COVID-19 virus, are part of the ongoing White House Task Force efforts. To keep up with the important work CMS is doing in response to COVID-19, please visit the Current Emergencies Website.
On March 12, 2020, the Centers for Medicare & Medicaid Services (CMS) posted Frequently Asked Questions (FAQs) to the Medicaid.gov website to aid state Medicaid and Children’s Health Insurance Program (CHIP) agencies in their response to the 2019 Novel Coronavirus (COVID-19) outbreak. CMS is taking this action in its continuing efforts to protect the health and safety of providers and patients, including those who are covered by Medicaid and CHIP.
A press release with further information can be found here: https://www.cms.gov/newsroom/press-releases/cms-publishes-first-set-covid-19-frequently-asked-questions-faqs-state-medicaid-and-childrens-health
The COVID-19 FAQs for State Medicaid and CHIP agencies can be found here: https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/covid19/index.html
These FAQs, and earlier CMS actions in response to the COVID-19 virus, are part of the ongoing White House Task Force efforts. To keep up with the important work CMS is doing in response to COVID-19, please visit the Current Emergencies Website.
The following guidance would only be effective until the official Declared Disaster Emergency in the State of New York over COVID-19 has ended.
Medicaid Pharmacy Guidance Disaster Emergency in the State of New York.pdf
Having trouble viewing this email? View it as a Web page.
You are subscribed to Policy Subject Numbers for the New York State Workers' Compensation Board. This information has recently been updated, and is now available.
Emergency Adoption of Amendment and Proposed Amendment to 12 NYCRR 441.2 to Update the New York Workers' Compensation Drug Formulary
Are you registered to vote? Register to vote online today
Moved recently? Update your information with the NYS Board of Elections
Not sure if you’re registered to vote? Search your voter registration status
Become an Organ Donor – Enroll today!
Email Us or call Customer Service at (877) 632-4996
The New York State Department of Health issued a special edition of the Medicaid Update today, March 10, 2020, featuring New York State Medicaid Coverage and Reimbursement Policy for Services Related to Coronavirus Disease 2019 (COVID–19). This Medicaid Update can be found at: https://health.ny.gov/health_care/medicaid/program/update/2020/2020-03-10_covid-19.htm.
In order to increase health care provider participation in the workers' compensation system and improve injured workers' access to timely, quality medical care, the Workers' Compensation Board (Board) is supporting electronic submission of CMS-1500 forms, along with a medical narrative. The CMS-1500 streamlines medical billing and may reduce the paperwork requirements currently in the workers' compensation system.
Free webinar to address your questions
The Board is hosting two free online Q&A webinars to give you an update on the initiative and answer your questions about CMS-1500. Each one-hour session will provide a brief overview of the CMS-1500 initiative as well as the most frequently asked questions we’ve received. We will use the remaining time to answer any additional questions you have. Each webinar will cover identical material.
Registration is required. You can register for either session at: http://www.wcb.ny.gov/webinars/
April 7, 2020: 10:00 a.m. - 11:00 a.m.
April 8, 2020: 2:00 p.m. - 3:00 p.m.
We encourage you to review the CMS-1500 training video (recorded from the first CMS-1500 webinars held in September 2019) and make note of any questions you have prior to attending one of the webinars.
You can also visit CMS-1500 Initiative and CMS-1500 FAQ for more information. The Board will post responses to questions received during the webinars in the FAQ section of the website.
To stay informed of Board news, sign up to get WCB notifications.