What are the CMS requirements?
Here are the basics: Your child must have or be suspected of having a condition which is chronic and/or disabling; You must qualify financially on the basis of family income and expenses; You must file an application and be determined CMS eligible before treatment is begun; All services must be preauthorized; Other financial resources such as Medicaid or health insurance, which may cover your child, must be used first to pay for services.
Related Questions
- If an eligible professional uses a certified EHR in a meaningful way (meeting CMS requirements), could that professional receive both the Medicare EHR payment incentive as well as the Medicaid EHR payment incentive?
- If an eligible professional uses a certified EHR in accordance with CMS and ONC requirements, could that professional receive both the Medicare and Medicaid EHR payment incentive?
- Are there documentation requirements that must be satisfied before CMS can provide a written opinion on the sufficiency of a Medicare Set-aside?
