OHCA gave notice of this change in Provider Letter #2017-06.
In addition CMS is also: • Proposing modifications to the Medicare Shared Savings Program to update the quality measures set and align with the proposals for the Quality Payment Program, changes to take beneficiary preferences for ACO assignment into consideration, and changes that would improve beneficiary protections when ACOs are approved to use the skilled nursing facility (SNF) 3-day waiver rule;• Requiring health care providers and suppliers to be screened and enrolled in Medicare in order to contract with Medicare Advantage health plans to provide Medicare-covered items and services to beneficiaries enrolled in Medicare Advantage; Continuing to implement Appropriate Use Criteria for advanced diagnostic imaging services, including proposals for priority clinical areas and clinical decision support mechanism (CDSM) requirements, among other proposals as detailed in this fact sheet.
These services include but are not limited to visits, surgical procedures, diagnostic tests, therapy services, and specified preventive services.
In addition to physicians, the physician fee schedule pays a variety of practitioners and entities, including nurse practitioners, physician assistants, physical therapists, as well as radiation therapy centers and independent diagnostic testing facilities.
If you need help to retrieve your letters, please call 800-522-0114, option 2, for the Provider Helpline.
Title: Change in Patient Dismissal Process for Sooner Care Choice Medical Homes Attention Sooner Care Choice Medical Homes (PCMH Only): A new process to dismiss members from your Sooner Care panel will go into production on June 15, 2017.