CMS Proposes CY 2020 & 2021 New Home Infusion Therapy Benefit

On July 11, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule [CMS-1711-P] that provides for routine updates to the home health payment rates for calendar year (CY) 2020, in accordance with existing statutory and regulatory requirements. The rule includes proposals related to implementation of the permanent home infusion therapy benefit in 2021.

The 21st Century Cures Act established the Medicare home infusion benefit, which will reimburse for nursing services, patient training and education, remote monitoring services and monitoring services for home infusion therapy treatments. The benefit enables home infusion of certain drugs including anti-infectives, chemotherapy, or treatment for immune deficiencies.

The proposed rule would permit therapist assistants to provide maintenance therapy. The proposal includes proposed payment categories, amounts, and required and optional adjustments.

Read CMS fact sheet.
Access the proposed rule.

Posted 7/18/2019