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Midwest February Newsletter 2021

Happy New Year! After a year like no other, we’re excited to welcome 2021 and the hope and optimism it brings. We’re gearing up for another great year of partnership with each of you, and we deeply appreciate your continued dedication to the health of our members, especially in these trying times.

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FLASH: CCR Lift Update – Concurrent Review UM Lift Expiration

Due to COVID, Health Alliance suspended inpatient clinical concurrent review for dates of services after 11/1/2020. This notice is to remind providers that inpatient clinical concurrent review policies will be reinstated on 2/1/2021.

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FLASH: Delay in Release of FY 2021 PC Pricers

The Centers for Medicare and Medicaid Services (CMS) would like to inform users of the Hospice, Inpatient and Skilled Nursing Facility (SNF) Prospective Payment System Personal Computer (PC) Pricers of a delay in the release of the Fiscal Year (FY) 2021 versions of these applications.

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COVID-19 Vaccine Information

This week, we’re sending the below email to our members, with important information about the COVID-19 vaccine. As their trusted providers, we knew you’d like to be informed of these communications.

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FLASH Update: Oxygen At Home for COVID Patients

Due to the 1135 Waiver, we have the flexibility to waive the current national and local coverage determinations that otherwise restrict coverage of the home-use of oxygen for the remainder of 2020. This change will allow practitioners the option of treating their patients with home-use of oxygen during the COVID-19 public health emergency.

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