Barton Reeves v. Becerra U.S. District Court, Connecticut In this case, the Medicare agency made a fundamental error of law when it denied coverage of skilled nursing facility (SNF) care for a Connecticut resident. After a hearing with an … [Read more...] about Cases
Search Results for: maintenance
Part D / Prescription Drug Benefits
Introduction to Medicare Part D This section constitutes an introduction to Part D. For more detailed information on any of the topics in this section, please click on the links within the topics. There, you will also find relevant legislative, … [Read more...] about Part D / Prescription Drug Benefits
Part B
Introduction Part B of Medicare is intended to fill some of the gaps in medical insurance coverage left under Part A. After the beneficiary meets the annual deductible, Part B will pay 80% of the "reasonable charge" for covered services, the … [Read more...] about Part B
Medicare Advantage
WHAT IS MEDICARE ADVANTAGE? In addition to the government's traditional Medicare program, Medicare offers individuals the option to receive services through a variety of private insurance plans. These private insurance options are part of … [Read more...] about Medicare Advantage
Improvement Standard and Jimmo News
Watch the 2023 Jimmo Symposium | Jimmo v. Sebelius at 10 Years: A Call for Sustainable Implementation Originally held September 27, 2023, this virtual meeting brought together advocates, providers, beneficiaries, and others to discuss practical … [Read more...] about Improvement Standard and Jimmo News
Discharge Planning
Rights and Procedures for Medicare Beneficiaries in Various Care Settings What does "Discharge Planning" plan for? What is the hospital supposed to do to prepare me for discharge? How do I get notified? How can I argue being … [Read more...] about Discharge Planning
Medicare Coverage for People with Disabilities
I'm not 65 yet, but I am disabled. Can I get Medicare coverage? I heard that I had to collect disability for 24 months to be eligible. Is this ALWAYS true? I have trouble getting private insurance. Can my illness disqualify me for Medicare … [Read more...] about Medicare Coverage for People with Disabilities
Chronic Conditions
Services for Beneficiaries with Chronic Conditions Many beneficiaries and providers often have questions about obtaining Medicare and Medicare Advantage coverage for services provided to individuals with on-going, chronic conditions. Medicare … [Read more...] about Chronic Conditions
Glossary of Terms
The letters at the top of the glossary chart will act as alphabetical links. To search for a specific word or phrase on this page, use the Ctrl+F keys on your keyboard, and enter the word you are looking … [Read more...] about Glossary of Terms
CMA Alert: Medicare Home Health Regs: Improvement NOT Required; Also Extender Act and More
CMA ALERT, DECEMBER 12, 2010 New Medicare Home Health Regulations: Improvement is NOT Required to Maintain Coverage! Congress Passes the Medicare and Medicaid Extenders Act of 2010 CMS Issues Corrected "Choosers" … [Read more...] about CMA Alert: Medicare Home Health Regs: Improvement NOT Required; Also Extender Act and More