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10. Despite Stakeholder Outcry, CMS Launches Home Health Prior-Authorization Demo

from Modern Healthcare

From June 15: Despite outcry from industry stakeholders, advocates and beneficiaries, the CMS is moving forward with a three-year demonstration in which beneficiaries from five states would need to get prior approval before they get home health services. The demonstration will launch in Florida, Illinois, Massachusetts, Michigan and Texas — states that are all tagged by the CMS as having high levels of improper payments. more


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