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The approval process to obtain waivers, however, is a lengthy one.The American Action Forum (AAF) found that the waiver approval process is a barrier to innovation in Medicaid–averaging 190 days for all types of waivers.Well Care of Kentucky is helping the residents of Muhlenberg County overcome transportation barriers so they can get the treatment they need to manage their acute and chronic health conditions.The health plan – which serves 440,000 Medicaid members, 8,000 Medicare Advantage plan members and 22,000 Medicare Prescription Drug Plan members in Kentucky – has invested in a transportation voucher system to subsidize the cost of transportation to medical appointments, hospitals, pharmacies, and dental and vision services.Medicare uses the term “referring provider” because they’ve yet to update that portion of the claim form.So, while it’s not exactly relevant—nor does it affect existing regulations regarding direct access—it’s the current Medicare requirement.

“Today’s decision to update and streamline the TAVR coverage parameters demonstrates CMS’ ongoing commitment to our beneficiaries,” said CMS Administrator Seema Verma.

Today the Centers for Medicare & Medicaid Services (CMS) finalized its decision to update the national coverage policy for Transcatheter Aortic Valve Replacement (TAVR), a procedure for a condition known as “aortic stenosis” in which the heart valve that propels blood from the heart to the rest of the body becomes narrowed.

CMS will continue to cover TAVR under coverage with evidence development (CED) when furnished according to an FDA-approved indication.

By directly addressing barriers to care, Medicaid health plans help beneficiaries beneficiaries and state Medicaid programs avoid costly, serious health complications in the future. Consider this – a new study shows that Medicaid health plans’ care coordination initiatives helped reduce the rate of hospital readmissions for kids with type 1 diabetes.

That’s a great outcome, and it’s one of the many reasons why Medicaid health plans continue to lead in delivering the right type of care at the right time.

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