Clarifying Medicare Coverage and Access to Home Infusion Therapy Services.
This bill aims to secure continuous access to home infusion therapy for Medicare beneficiaries by clarifying payment rules and expanding covered services. It explicitly includes pharmacy services and allows nurse practitioners or physician assistants to manage the care plan. Crucially, it establishes a payment mechanism for days when the infusion drug is administered at home without the physical presence of a supplier, ensuring ongoing financial support for the treatment.
Key points
Medicare coverage is expanded to explicitly include pharmacy services, drug preparation, and care coordination related to home infusion therapy.
Payment is established for days when patients self-administer infusion drugs at home (without a supplier present), ensuring continuity of coverage, albeit at a 50% reduced rate.
Nurse practitioners and physician assistants are authorized to establish and periodically review the home infusion plan of care, increasing flexibility in treatment management.
Expired
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