Home-based Medicare-covered physical therapy, occupational therapy and speech-language pathology services may be available outside of Medicare’s often inaccessible home health benefit. Mobile outpatient therapy is coverable under Part B, though it … [Read more...] about Is Mobile Outpatient Therapy an Alternative to Home Health Care?
Archives for August 2025
Know Jimmo | Skilled Outpatient Maintenance Therapy IS Available
The Center for Medicare Advocacy is often asked in what care settings the Jimmo Settlement applies. Jimmo applies to skilled care – nursing and therapy (physical, occupational and speech language pathology) – received in a skilled nursing facility, … [Read more...] about Know Jimmo | Skilled Outpatient Maintenance Therapy IS Available
Issue Brief | Closing the VA-Medicare Advantage Payment Loophole
__________This Issue Brief outlines a loophole in the Social Security Act of 1935 that prohibits the Veterans’ Health Administration (VHA) from billing Medicare for health care and services provided to veterans through the VA healthcare system. … [Read more...] about Issue Brief | Closing the VA-Medicare Advantage Payment Loophole
H.R 1 “Big Bill” Even Worse Than Expected
We recently outlined the impact that H.R. 1 – the One Big Beautiful Bill Act (OBBB) – will have on Medicare and the broader health system. This sweeping legislation cuts over $1 trillion from health programs, which will result in 10 million … [Read more...] about H.R 1 “Big Bill” Even Worse Than Expected
Remembering Diane Paulson
The Center for Medicare Advocacy mourns the loss of Diane F. Paulson, who died on August 2, 2025, at the age of 87. Diane’s dedication to Medicare advocacy and social justice left an indelible mark on countless lives.As the longtime leader of the … [Read more...] about Remembering Diane Paulson
Immigration Policies Threaten Critical Nursing Home Workforce
The current administration’s immigration policies are threatening a cornerstone of America’s nursing home workforce, as well as the care and safety of vulnerable residents. Immigrant health care workers—including those whose protected status has been … [Read more...] about Immigration Policies Threaten Critical Nursing Home Workforce
CMA Joins Coalition in Amicus Brief Supporting Disability Rights
The Center for Medicare Advocacy recently joined a coalition, led by Justice in Aging, in filing an amicus brief urging a federal court to protect the right of people with disabilities to receive the services and supports they require to live safely … [Read more...] about CMA Joins Coalition in Amicus Brief Supporting Disability Rights
Case Study: Observation Status Appeal Results in Nursing Home Coverage
Background: Mrs. J (a pseudonym), a 91-year-old woman with advanced dementia, fell at her Connecticut home in April while suffering from a urinary tract infection. She was in severe pain and barely able to move. Her husband and the home health aide … [Read more...] about Case Study: Observation Status Appeal Results in Nursing Home Coverage
Know Jimmo | No “Rules of Thumb”
In November 2010, CMS affirmatively revised its regulations to clarify Medicare coverage principles for home health services, including physical therapy, occupational therapy, and speech-language pathology services. Most importantly for people with … [Read more...] about Know Jimmo | No “Rules of Thumb”