McGovern Sends Delegation Letter Requesting Meeting with CMS on TPL

Congressman Jim McGovern has sent a letter to CMS Acting Director Cyndy Mann with a request that Mann meet with him and the Home Care Alliance on continuing the Third Party Liability (dual eligible) demonstration project.

The demonstration allows decisions about the appropriate payer for home health services to Medicare/Medicaid dual eligible elders to be handled by a 200 case sampling rather than a case by case review.

“Annual review of two hundred cases per state has been a better systemic solution than previous practices in which thousands of cases, with immense red tape, make their way through multiple levels of review and appeal,” said the McGovern letter.

Joining Congressman McGovern in signing on from the Massachusetts Congressional Delegation were Representatives Capuano, Delahunt, Frank, Lynch, Markey, Olver and Tsongas.

MassHealth administrators have also written to CMS this week, urging that the demonstration project be extended.

The demonstration has been a tri-state effort with New York and Connecticut, whose associations have been working hard advocating for an extension as well.

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