Home Health & Hospice Week

Industry Notes:

Hospice VBID Effective Date Clarification Issued

Effective dates for the Medicare Advantage hospice carve-in are clearer after an update from the Centers for Medicare & Medicaid Services.

Value-Based Insurance Design (VBID) Model imple­mentation is effective “when the Hospice Election Start Date is on or after January 1, 2021 and prior to January 1, 2025,” CMS says in a June 9 update to Change Request 11754.

Heads up: “Providers MUST still submit claims for these services to Medicare,” says the related MLN Matters article. “Non-contracting providers must also submit the same billing forms used to bill original Medicare to plans partici­pating in the VBID Model’s hospice benefit component for payment.”

The MLN Matters article, which includes a link to the CR, is at www.cms.gov/files/document/mm11754.pdf.

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