CMS Revises Guidance for Part D and Hospice
On Friday, July 18, CMS issued revised guidance (PDF) to replace the March 10, 2014 guidance to hospices and Part D plan sponsors regarding payments for medications. The revised guidance changes the prior authorization (PA) requirement to ONLY the four classes of drugs referenced in the OIG 2012 Report-analgesics, anti-emetics, laxatives, and anti-anxiety medications.
CMS staff requested a meeting with NHPCO mid-day on Friday to review the changes in the revised Guidance and to address any ongoing concerns. The broad outline of the changes is included in the full article here.