This is a really good question and I hope several of you are able to chime in with your experiences.  This was brought up at the recent Home Care Policy Summit I attended a couple of weeks ago – they didn’t have any answers to share, just that we should each, in our respective states, learn what will happen with our Medicare Advantage Plans. 

 

Your responses to Kori’s question will help me figure out how to proceed!!

 

Thanks in advance –

 

Karen Peterson

Regulatory Affairs and Advocacy Manager

Minnesota HomeCare Association

 

2550 University Ave. W.,  Ste. 350 S | St. Paul, MN 55114-1900

Direct: 651.659.1457 | Main: 651.635.0607

Toll-free: 866.607.0607 | Fax: 651.635.0043

www.mnhomecare.org | kpeterson@mnhomecare.org

 

Mission: MHCA represents and supports Minnesota home care providers committed to high quality home care services.

Vision: MHCA will shape the home care landscape to improve and sustain quality home care services.

 

 

 

 

 

Has anyone seen anything from any of the Medicare Advantage payers regarding a decision to adopt PDGM? Or not adopt?

 

Our software is not going to support PPS HIPPS code OASIS D assessments once OASIS D1 PDGM HIPPS codes are implemented unless we can point to specific payers that will still require PPS HIPPS codes after 010120. I have not had any luck contacting individual payers (BCBS MSHO, Humana, Aetna, UnitedHealthcare), and am wondering if anyone else has had better luck and gotten some specific answers?

 

Thanks in advance!

 

Kori Meyer

Biller | Pathways to Achievement, Inc

114 S 20th Ave W Suite A | Duluth  MN  55806

218.623.7106 | Fax 218.491.7185