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North Carolina and Florida RCD 25% Payment Reduction

North Carolina and Florida RCD 25% Payment Reduction Beginning April 1, 2022, CMS will implement the 25% payment reduction in North Carolina and Florida where applicable. Initially, to help NC and FL providers transition to full implementation in the demonstration, CMS had not implemented the 25% payment reduction. Following...

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COVID-19 Monoclonal Antibodies: FDA Authorized Bebtelovimab

COVID-19 Monoclonal Antibodies: FDA Authorized Bebtelovimab On February 11, the FDA authorized the emergency use (PDF) of the monoclonal antibody bebtelovimab for the treatment of mild-to-moderate COVID-19 in adult and pediatric patients when all of these apply: They have a positive COVID-19 test result They’re at high-risk for progression to severe...

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COVID-19: New HCPCS Code for Convalescent Plasma in Outpatient Setting

COVID-19: New HCPCS Code for Convalescent Plasma in Outpatient Setting On December 28, the FDA revised the emergency use authorization for COVID-19 convalescent plasma with high titers of anti-SARS-CoV-2 antibodies. It’s authorized for treatment of COVID-19 in patients with immunosuppressive disease or getting immunosuppressive treatment, in the outpatient or inpatient setting....

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Biden-Harris Administration Will Cover Free Over-the-Counter COVID-19 Tests Through Medicare

Biden-Harris Administration Will Cover Free Over-the-Counter COVID-19 Tests Through Medicare CMS Developing Initiative to Enable Access to Eight Free Over-the-Counter COVID-19 Tests for Medicare Beneficiaries in Early Spring As part of the Biden-Harris Administration’s ongoing efforts to expand Americans’ access to free testing, people in either Original Medicare or...

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COVID-19: New HCPCS Code for Remdesivir Antiviral Medication – Updated NIH Treatment Guidelines Panel Link

COVID-19: New HCPCS Code for Remdesivir Antiviral Medication – Updated NIH Treatment Guidelines Panel Link Following the recent statement from the National Institutes of Health (NIH) COVID-19 Treatment Guidelines Panel about therapies for the COVID-19 Omicron variant, CMS created HCPCS code J0248 for VEKLURY™ (remdesivir) antiviral medication when administered in an...

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COVID-19: Vaccine Access in Long-term Care Settings

COVID-19: Vaccine Access in Long-term Care Settings The federal government is committed to ensuring that residents and staff in long-term care settings, like nursing homes, assisted living, residential care communities, group homes, and senior housing, have access to COVID-19 vaccines to get primary series and booster shots. We encourage...

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