QUARC Update / ACHM Regulatory Update

CMS has recently published a timeline update for the non-emergent Hyperbaric Oxygen Prior Authorization demonstration. The timeline can be viewed here.

The first phase of this demonstration will end February 28, 2018.

At this time, there has been no notification of an extension, although that is likely to happen. Additionally, there has been no feedback from the federally mandated Stakeholder Evaluation. To date, there has been no report from the General Accountability Office (GAO) in response to the request from the Senate Finance Committee for the to review the impact of Prior Authorization Projects, including hyperbaric oxygen.

Prior authorization of non-emergent HBO therapy runs:

Michigan: April 13, 2015 – February 28, 2018

Illinois and New Jersey: August 1, 2015 – February 28, 2018

By | 2018-01-15T21:21:31+00:00 January 15th, 2018|Uncategorized|0 Comments

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