Starting this year, the Medicare Advantage Open Enrollment Period (OEP) has been replaced by a new Medicare Advantage Disenrollment Period (MADP), which lasts from January 1st through February 14th.[1] During the MADP, one can switch from an MA plan … [Read more...] about 45 Day Disenrollment Period for Medicare Advantage Members
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New Medicare Home Health Regulations: Improvement is Not Required to Obtain Coverage
The Centers for Medicare & Medicaid Services (CMS) issued new regulations on November 17th regarding coverage for home health services. The new regulations clarify Medicare coverage for home health services, including physical therapy, … [Read more...] about New Medicare Home Health Regulations: Improvement is Not Required to Obtain Coverage
Medicare Changes Effective January 1, 2011
This Alert serves as a reminder about changes to Medicare that go into effect on January 1, 2011. 1. The Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) competitive bidding program[1] Beginning … [Read more...] about Medicare Changes Effective January 1, 2011
Be Cautious Before Combining Medicare and Medicaid
Concerned about the well-being and rights of dually eligible older and disabled people, 38 national, state and local advocacy organizations, individual advocates, and law professors sent the following letter to Secretary of Health and Human Services … [Read more...] about Be Cautious Before Combining Medicare and Medicaid
Harris v. Board of Supervisors of the County of Los Angeles
No. CV 03 2008FMC(PJWx) (C.D.Cal.), filed March 12, 2003 Updated: August 25, 2006 Issue: Whether the County of Los Angeles, under state law and the Medicare and Medicaid statutes, may close a rehabilitation hospital and eliminate 100 beds from … [Read more...] about Harris v. Board of Supervisors of the County of Los Angeles
Grijalva v. Shalala
No. CIV 93-7112 TUC ACM (D. Ariz.), filed 1993; Grijalva v. Shalala, No. 97-15877 (9th Cir.), appeal filed by defendant 1997; Shalala v. Grijalva, No. 98-1284 (S.Ct.), petition for cert. filed by defendant Final Update: October 30, … [Read more...] about Grijalva v. Shalala
Erringer v. Thompson
No. CIV01-112TUC-BPV (D. Ariz), filed March 16, 2001 Last Updated: December 15, 2004 Issue: Whether CMS's procedures for promulgating Local Coverage Determinations (LCDs) and for informing beneficiaries of the application of LCDs to their claims … [Read more...] about Erringer v. Thompson
Una ley recientemente firmada por el Gobernador Luis Fortuño invalidará todos los certificados de nacimiento de Puerto Rico a traves del 1 de julio 2010
Una ley recientemente firmada por el Gobernador Luis Fortuño - pasado para luchar contra el robo de identidad - invalidará todos los certificados de nacimiento de Puerto Rico a partir del 1 de julio 2010. Toda la gente nacida en … [Read more...] about Una ley recientemente firmada por el Gobernador Luis Fortuño invalidará todos los certificados de nacimiento de Puerto Rico a traves del 1 de julio 2010
Regla de Mejoría
THE CENTER FOR MEDICARE ADVOCACY LANZA UN NUEVO PROYECTO REMOVIENDO LA MAYOR BARRERA AL CUIDO NECESARIO: INICIATIVA DE ABÓGACIA & EDUCACION PARA LA "REGLA DE MEJORÍA" El Center for Medicare Advocacy ha lanzado una … [Read more...] about Regla de Mejoría
Medicare for People with Alzheimer's Disease and other Chronic Conditions
As the New York Times reported on March 31, 2002 (p.1), Medicare advocates have been successful in convincing the Centers for Medicare and Medicaid Services (CMS) to loosen Medicare's denial practices for people with Alzheimer's disease and other … [Read more...] about Medicare for People with Alzheimer's Disease and other Chronic Conditions