decisionhealth Newsletters, Part B News - 2022 Issue 4 (April)
Feds signal a PHE cease. Expect some waivers, like Stark Law, to go when it does.
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Article Overview
This article is for health care providers, practice administrators, compliance staff, and billing professionals who need to understand how the end of the COVID-19 public health emergency could affect federal waiver-based flexibilities. It surveys the major areas likely to change, including Medicare and telehealth policy, enrollment and facility privileges, quality program accommodations, Stark Law waiver provisions, and PREP Act-related considerations. The article also places those federal developments in the context of state emergency declarations and the transition back toward pre-pandemic policy.
Why This Topic Matters
The end of the PHE may trigger the expiration or modification of multiple temporary flexibilities that practices have relied on for operations, coverage, and compliance. Knowing which broad policy areas are affected helps organizations prepare for transitions in billing, telehealth, referrals, and administrative processes.
Article Sections
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COVID-19 public health emergency status and policy retreat
Introduces the status of the federal COVID-19 emergency and notes signs that federal and state policies are shifting back toward pre-pandemic rules. It also references recent federal actions and the timeline for renewal or notice.
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Review the flexibilities in place
Summarizes the main categories of temporary Medicare and federal health care flexibilities discussed in the article. The section also addresses which areas have already changed or may be revisited when emergency authority ends.
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Keep an eye on timelines, declarations
Covers expected notice periods, the uncertainty around some telehealth policy changes, and the general outlook for administrative adjustments as the emergency ends. It also discusses state-level follow-on effects and possible implementation timing.
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Monitor PREP progress
Explains the article’s discussion of the PREP Act and how its emergency liability framework could interact with the end of the federal PHE. It also addresses possible issues for states with continuing emergency declarations.
What You Will Learn
- How the end of the COVID-19 public health emergency may affect federal waiver-based health care flexibilities
- Which broad Medicare and telehealth policy areas are discussed as candidates for change
- Why compliance, referral arrangements, and administrative processes may need review
- How the article frames the relationship between federal emergency declarations and state emergency actions
- What the article says about emergency liability protections under the PREP Act
Who Should Read This
- Health care providers
- Practice managers
- Billing and coding staff
- Compliance officers
- Health care attorneys
- Telehealth administrators
Codes Discussed
Modifiers Discussed
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