A native of New Orleans, Brazile continues to work toward the full recovery of the city, and she encourages young people of all backgrounds to vote and to strengthen the system from within by running for public office. Since 2000, she has appeared at more than a hundred higher education institutions across the country, speaking to young people about diversity and issues in our current political system.
On Monday, March 9, Donna Brazile’s keynote address will offer her insight into Washington politics, the 2020 elections and the legislative landscape. We encourage you to register now , as space is filing up quickly.
Ohio's Better Access, Better Care Act Heard in Committee
On November 19, House Bill 177 , known as the Better Access, Better Care Act, had its fifth hearing in the House Health Committee. During the hearing, questioning frequently centered on the cost incurred by advanced practice registered nurses (APRNs) for a standard care arrangement. No vote was held on the bill. If enacted, this bill would retire the requirement for an APRN to maintain a standard care arrangement with a physician in order to practice.
Home Health Orders for NPs Under the Maryland Total Cost of Care (TCOC) Model
As noted in previous Government Affairs Updates, the Center for Medicare and Medicaid Services (CMS) approved a waiver that will allow all Medicare-enrolled NPs in Maryland to certify home health services for Medicare beneficiaries beginning on January 1, 2020, as part of the Maryland TCOC Model. The Maryland TCOC Model is the first model tested by the Centers for Medicare and Medicaid Innovation (CMMI) that holds a state fully at risk for the total cost of care for Medicare beneficiaries. CMS has instructed Maryland Medicare Administrative Contractors to begin accepting home health claims submitted by home health agencies with NPs in the attending provider field, as well as claims submitted directly by NPs for certification/re-certification and care plan oversight for home health plans of care.
Access more information regarding the waiver and the Maryland TCOC Model . Additionally, AANP has put together a brief primer on the waiver . AANP is very pleased to see that CMS recognizes that authorizing NPs to fully oversee home health plans of care will decrease costs of care, lower unnecessary utilization and support patient/provider relationships. AANP will continue to work with CMS on expanding this authorization throughout other Medicare and Medicaid programs.
Primary Care First Model Application Portal Open
As mentioned in previous Government Affairs Updates, in April of 2019, the CMMI announced the creation of the Primary Care First Model Option. This is a value-based care model that is focused on primary care providers, including NPs. On Thursday October 24, 2019, CMMI released the Request for Applications (RFA) with the information necessary for providers and practices to determine if they wish to enroll in the model, and CMMI opened the application portal . Practice and providers will be able to apply for the model through that portal until January 22, 2020. The RFA and additional information regarding the model can be found on the CMMI Primary Care First website . We would like to highlight that CMMI has moved back the model start date from January 1, 2020, to January 1, 2021. AANP will provide additional information regarding the model as it becomes available and will be updating the AANP Advanced Payment Models page with additional resources.
CMMI Kidney Care Choices Model Request for Applications
As noted in a previous Government Affairs Updates, on Thursday October 24, 2019, CMMI released the RFA for the Kidney Care Choices Model options , which are focused on improving kidney care for Medicare beneficiaries. Practices that meet the eligibility requirements within the RFA will be eligible to apply for the Model until January 22, 2020. The implementation period for the model will be 2020, and the model performance period will begin January 1, 2021. The application portal and additional information regarding the kidney care model options will be found on the Kidney Care Choices Model website . We would also like to note that CMMI announced in the RFA that it is considering implementing a waiver for NPs participating in these models to certify and recertify home health plans of care. This waiver has not yet been finalized, and we will provide additional information on the model and the waiver as soon as it becomes available.
NP Legislation: Advocating to Remove Federal Barriers
The number of cosponsors continues to increase in both the House and Senate. Keep up the momentum by engaging with your elected officials and their staff!