Beginning in January, Medicare will pay for certain care management home visits under the Next Generation Accountable Care Organization Model. Next Generation participants and preferred providers who have initiated a care treatment plan for aligned beneficiaries will be eligible to receive up to two care management home visits within 90 days of seeing that participant or provider, the Centers for Medicare & Medicaid Services told Medicare contractors Friday. “Specifically, the scope of covered items and services under this benefit enhancement include those services and supplies that would be covered under Medicare Part B, and are furnished ‘incident to’ the professional services of a physician or other practitioner,” CMS said, “with the exception that CMS will waive the direct supervision requirement such that the services and supplies may be furnished by auxiliary personnel under the billing physician’s or other billing practitioner’s general supervision.” The change applies to program year three of the Next Generation model, which qualifies as an advanced alternative payment model under Medicare’s Quality Payment Program for clinicians.

Related News Articles

Perspective
As a politically practical matter, we need to focus on finding consensus to improve the system we have rather than subject the nation to yet another polarizing…
Headline
The AHA today urged the Centers for Medicare…
Headline
The AHA Friday shared recommendations for developing a unified post-acute care prospective payment system as required by the Improving Medicare Post-Acute Care…
Headline
The Centers for Medicare…
Headline
The Department of Health and Human Services’ Center for Medicare and Medicaid Innovation today announced a new payment model for emergency ambulance services…
Headline
The Centers for Medicare…