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AHCA/NCAL: CMS Releases Proposed Medicare Eligibly and Coverage Changes

This week, the Centers for Medicare & Medicaid Services (CMS) published in the Federal Register a proposed rule entitled, Medicare Program; Implementing Certain Provisions of the Consolidated Appropriations Act, 2021 and Other Revisions to Medicare Enrollment and Eligibility Rules. The Notice of Proposed Rulemaking (NPRM) includes proposed changes to Medicare eligibility, including elimination of the Medicare coverage waiting period under specific circumstances, as well as new Special Enrollment Periods (SEP).

The NPRM also proposes extending months of immunosuppressive drugs for kidney transplant patients, simplification of Medicare enrollment forms and proposes to update various regulations that affect a state’s payment of the Medicare Part A and B premiums on behalf of low-income individuals (often known as “state buy-in”).

These changes could better align the regulations with federal statute, policy and operations that have evolved over time.

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Additional Updates

New Video: Dr. Gifford Encourages LTC Staff to Get Their Booster Shot: In a special video message, AHCA/NCAL’s Chief Medical Officer Dr. David Gifford encourages long term care staff to stay up to date on their COVID vaccinations and get their booster shot. Watch Now

Please email COVID19@ahca.org for additional questions, or visit ahcancal.org/coronavirus for more information.

NYSHFA/NYSCAL CONTACTS:

Jackie Pappalardi, RN, BSN
Executive Director
518-462-4800 x16

Tarrah Quinlan, RN, BSN
Director of Education Program Development and Member Operations
518-462-4800 x20