“Maintenance Therapy – Therapy services in connection with a maintenance program are considered skilled when they are so inherently complex that they can be safely and effectively performed only by, or under the supervision of, a qualified therapist. … [Read more...] about Know Jimmo | Medicare Covers Therapy in Nursing Homes to Maintain or Slow Decline
Weekly Alert
A huge victory for Veterans living with ALS!
From our friends at I Am ALS: The Elizabeth Dole bill has now been passed by BOTH chambers of Congress! Now all that's left is for President Biden to sign it into law. The passage of this bill makes numerous improvements to the Veterans Affairs … [Read more...] about A huge victory for Veterans living with ALS!
Elder Justice “No Harm” Newsletter Volume 6, Issue 2 Now Available
In the Elder Justice Newsletter, we highlight citations, including deficiencies related to abuse, neglect, and substandard care, that have been identified as not causing any resident harm. The goal of this brief newsletter is to shed light on … [Read more...] about Elder Justice “No Harm” Newsletter Volume 6, Issue 2 Now Available
CMA Supports Critical Beneficiary Protections in Court Filings
The Center for Medicare Advocacy recently filed amicus curiae (“friend of the court”) briefs in several cases that may have a significant impact on the health care of older adults and people with disabilities. The amicus brief explains the dire … [Read more...] about CMA Supports Critical Beneficiary Protections in Court Filings
Know Jimmo | Jimmo Applies to Many Care Settings
The standards established by Jimmo v Sebelius apply to four health care settings. They include: 1. Skilled Nursing Facility,2. Home Health, and,3. Outpatient Therapy (PT, SLP/ST, OT)4. Inpatient Rehabilitation Hospital (Facility) (IRF) Skilled … [Read more...] about Know Jimmo | Jimmo Applies to Many Care Settings
Know Jimmo | Medicare Home Health Coverage is Available for People with On-Going Needs
Contrary to regular misunderstanding and misstatements, Medicare coverage is available for home health coverage with no duration of time limit. In fact, Medicare home health coverage is available under the law “so long as skilled care is received” … [Read more...] about Know Jimmo | Medicare Home Health Coverage is Available for People with On-Going Needs
Health Affairs Study Highlights the “Medicare Advantage Trap”
A recent Health Affairs study, “Medigap-Guaranteed Issue Associated with Medicare Advantage Disenrollment for Beneficiaries Administered a Part B Drug,” looked at beneficiaries receiving physician-administered drugs, to see if disenrollment from MA … [Read more...] about Health Affairs Study Highlights the “Medicare Advantage Trap”
Final Rule Expands Medicare Access to Formerly Incarcerated Individuals
In the recently published 2025 Hospital Outpatient Prospective Payment (OPPS) rule, the Centers for Medicare and Medicaid Services (CMS) narrowed the description of “custody” and revised the special enrollment period (SEP) criteria for formerly … [Read more...] about Final Rule Expands Medicare Access to Formerly Incarcerated Individuals
Medicare Annual Open Enrollment Ends December 7th
The Medicare Annual Election Period (AEP), also called the Annual Enrollment Period or Open Enrollment Period, ends this Saturday, December 7th, 2024. This is the yearly opportunity for Medicare beneficiaries to add or change their Medicare … [Read more...] about Medicare Annual Open Enrollment Ends December 7th
CMA Founder Judith Stein Honored
At the 2024 Aging CT Summit, Aging CT honored and celebrated the CMA’s founder and Senior Advisor, Judy Stein. State Comptroller Sean Scanlon, Aging and Disability Services Commissioner Amy Porter, and the state’s five Area Agency on Aging Directors … [Read more...] about CMA Founder Judith Stein Honored