Missouri VFC Updates

Beginning January 1, 2018, CDC will require all VFC providers storing vaccine to use a continuous temperature monitoring device with an active temperature display and current and valid certificate of calibration testing. The device must have continuous monitoring and recording capabilities where the data can be routinely downloaded. Additional Missouri Requirements for the continuous temperature monitoring device include: A detachable, buffered probe Alarm for out of range temperatures Current, minimum, and maximum temperatures Digital temp display that can be read on the outside of the storage unit Low battery indicator Accuracy of +/- 1 degree F Memory storage of at least 4,000 readings Us

HCPCS Code Update for Preventative Services

CMS has released an update that CPT code 76706 will replace HCPCS code G0389 for dates of service on or after January 1, 2017. Section 5112 of the Deficit Reduction Act of 2005 allows for only one ultrasound screening test for an abdominal aortic aneurysm by Medicare. CPT code 76706 will replace HCPCS code G0389 for billing this service. MACs will apply all editing that was applied to HCPCS code G0389 to CPT code 76706, including the waiver of deductible and coinsurance. You can read the official instructions to MACs here. The full MLN Matters article on this change is available here.

2017 Updates to RHC Medicare Policies

CMS has updated the Medicare Benefit Policy Manual chapter on Rural Health Clinics to reflect changes in requirements and payment policies for 2017. The key revised areas include: Section 110.3: Clarifies information on payment for Graduate Medical Education in RHCs. Section 110.4: Services furnished by auxiliary personnel incident to a TCM visit may be furnished under general supervision. Section 110.5: Services furnished by auxiliary personnel incident to a CCM visit may be furnished under general supervision. Section 130.3: Removes payment restriction for an RHC owned by a physician assistant. Section 180: Includes speech-language pathology services. You can view the revised policies her

Mo HealthNet Proposes Rule Expanding Health Home Conditions

Mo HealthNet recently published a proposed rule expanding the conditions that make patients eligible for Primary Care Health Homes. The proposed rule adds obesity and childhood uncontrolled asthma as standalone conditions that qualify Medicaid patients for Primary Care Health Homes. It also adds anxiety, depression, and substance abuse to the list of conditions that, in conjunction with other conditions, can qualify someone as a PCHH patient. DSS estimates this change will add 2,500 patients to the health home program. The rule also requires PCHH teams to include to a "physician champion" to encourage transformation to the health home model. You can read the full text of the proposed rule

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