CMS

CMS announced the 2022 Medicare & You Handbook will be available in Chinese, Vietnamese, and Korean, as well as English and Spanish. Medicare & You is a resource designed to help Medicare enrollees make decisions about their coverage. The new Chinese version, along with Spanish, large print, audio book, and braille versions of Medicare & You are available on Medicare.gov.

The Administration will require COVID-19 vaccination of staff within all Medicare and Medicaid-certified facilities to protect themselves and patients from the COVID-19 Delta variant. On Thursday, September 9, 2021, CMS, in collaboration with the CDC, announced that emergency regulations requiring vaccinations for nursing home workers will be expanded to include hospitals, dialysis facilities, ambulatory surgical settings, and home health agencies, among others.

On Monday, August 30th, CMS released two State Health Official (SHO) letters and a PowerPoint document that provide guidance regarding a variety of issues, including increases to state FMAP for several activities, opportunities to improve vaccine uptake among providers and beneficiaries, and habilitation services for children with disabilities.

In May 2021, CMS released a final rule regarding vaccination education, access, and reporting for residents and staff of nursing and care facilities for individuals with intellectual and developmental disabilities. Recently, CMS sent detailed implementation guidelines to the state agencies responsible for overseeing ICFs/IID. This memo details the responsibilities of ICFS/IID within the new guidelines.

CMS released the 2020 Medicaid and CHIP Beneficiary Profile and Infographic. The profile and infographic provide an overview of the characteristics, health status, access, utilization, expenditures, and experience of the beneficiaries served by Medicaid and CHIP.

CMS is expanding opportunities for people to receive COVID-19 vaccinations in their home to ensure that Medicare beneficiaries who are hard-to-reach can receive the vaccination. Healthcare providers can now receive additional payments for administering vaccines to multiple residents in one home setting or communal setting of a home.

CMS, along with the Centers for Disease Control and Prevention, is developing an emergency regulation requiring staff in over 15,000 Medicare and Medicaid-participating nursing homes to get vaccinated. This new requirement is central to protecting the health and safety of nursing home residents and all staff members. Millions of vaccinations have been administered to residents and staff over the last few months and are shown to help prevent the spread of COVID-19, including the Delta variant.

CMS released a SHO letter with updated guidance to assist states in planning for resuming normal state Medicaid, CHIP, and BHP operations for the eventual end of the public health emergency. The SHO provides updated guidance regarding the extended timeframe for states to complete pending work in eligibility and enrollment to up to 12 months after the PHE ends and redetermination of eligibility requirements states must complete after the PHE for all beneficiaries before taking adverse actions.

CMS Office of Minority Health is recognizing National Immunization Awareness month by providing immunization and vaccine resources on their website. The site houses shareable information about available, low cost vaccines, Medicare coverage for vaccines, COVID-19 resources, and more.

On August 3, 2021 CMS published a proposed rule that would rescind a 2019 policy change prohibiting reassignment of certain Medicaid payments. The rule would re-instate a policy that was first established in 2014 allowing payments to third parties when Medicaid program is the primary source of revenue for the provider. CMS is accepting comment on the proposed rule until September 28, 2021.