On September 27, 2023 the Center for Medicare Advocacy convened a symposium to discuss the Jimmo v. Sebelius "Improvement Standard" Settlement. This virtual meeting brought together advocates, providers, beneficiaries, and others to discuss practical … [Read more...] about Center Symposium on the Jimmo Settlement Calls for Sustainable Implementation
The Improvement Standard
Senate Finance Committee Confirms Medicare Home Health Coverage Can Be Long-Term
At a September 19, 2023 hearing, held by the Subcommittee on Health Care of the Senate Finance Committee and entitled “Aging in Place: The Vital Role of Home Health and Access to Care,” Subcommittee Chair Senator Benjamin L. Cardin (D – MD) confirmed … [Read more...] about Senate Finance Committee Confirms Medicare Home Health Coverage Can Be Long-Term
Join Your CMA Community For A Jimmo Symposium
Jimmo v. Sebelius at 10 Years: A Call for Sustainable Implementation Make Your Voices Heard Wednesday, September 27 from 2:00 – 4:00 PM ET In 2013, the Center for Medicare Advocacy and Vermont Legal Aid along with additional counsel provided … [Read more...] about Join Your CMA Community For A Jimmo Symposium
Guest Post: Jimmo Enforced, Preventive & Maintenance Therapy Affirmed
By John Marmarou, DPT, MSCS - Executive Director, Total Rehab & Fitness For the last 15 years, all of my professional work and efforts have been devoted to keeping those with multiple sclerosis (MS) in their communities and out of the … [Read more...] about Guest Post: Jimmo Enforced, Preventive & Maintenance Therapy Affirmed
Jimmo Implementation Council Meeting | June 16, 2021
The Center for Medicare Advocacy, with support from The John A. Hartford Foundation, brought together a multidisciplinary team of experts for the third Jimmo Council meeting on June 16, 2021. The meeting, led by the Center’s Executive Director Judy … [Read more...] about Jimmo Implementation Council Meeting | June 16, 2021
Guest Author – The Myth of the Medicare Improvement Standard
The Issue Brief linked below is posted and reprinted with permission of the author, Catherine G. Hopper, Esq. The Center for Medicare Advocacy is grateful to Ms. Hopper not only for permission to reprint, but for her diligence in understanding and … [Read more...] about Guest Author – The Myth of the Medicare Improvement Standard
Medicare Home Health Case Settled with Full Coverage for Beneficiary with Chronic Conditions
Vermont Legal Aid and the Center for Medicare Advocacy are pleased to announce the settlement of McKee v. Azar, a case that was brought in federal court to ensure proper coverage of home health care services for a Medicare beneficiary with multiple … [Read more...] about Medicare Home Health Case Settled with Full Coverage for Beneficiary with Chronic Conditions
Issue Brief: Medicare Payment vs. Coverage for Home Health & Skilled Nursing Facility Care
New Issue Brief: Medicare Payment vs. Coverage for Home Health & Skilled Nursing Facility Care The Centers for Medicare & Medicaid Services (CMS) — the federal agency responsible for administering the Medicare program — has begun … [Read more...] about Issue Brief: Medicare Payment vs. Coverage for Home Health & Skilled Nursing Facility Care
You Do Not Have to Improve! New Jimmo Resources for Appealing Medicare Denials in Nursing Homes
Medicare coverage of nursing home care depends on a resident’s need for skilled nursing and/or therapy, not the resident’s potential for improvement. However, too many nursing home residents continue to be denied skilled services on the basis of an … [Read more...] about You Do Not Have to Improve! New Jimmo Resources for Appealing Medicare Denials in Nursing Homes
Jimmo “Improvement Standard” Appeal Letter Template
[Date] [Attorney’s Name] [Address] Re: [Beneficiary’s Name], Medicare No. [XXXXX] To Whom It May Concern: I am writing on behalf of my client, [Full Name], to request an expedited reconsideration. The skilled nursing facility (SNF) … [Read more...] about Jimmo “Improvement Standard” Appeal Letter Template