Policy: Park These 4 Proposals on Your CY 2024 MPFS Watchlist

Why This Topic Matters

The proposed changes could affect how services are reported, paid, and operationalized across telehealth, behavioral health, community-based, and shared-visit settings. Monitoring these proposals helps organizations prepare for Medicare policy updates and comment opportunities.

Article Sections

1. Background

   Introduces the CMS proposed rule for CY 2024 and frames the broader post-PHE policy context. It also notes the rulemaking timeline and where the proposals were released.

2. Four MPFS proposals to watch

   Summarizes the main policy areas highlighted in the article, including telehealth, place-of-service payment, health equity-related services, and split/shared timing.

3. Telehealth policy through Dec. 31, 2024

   Covers the proposal to extend several telehealth flexibilities associated with recent legislation through the end of 2024. The section focuses on coverage and participation changes discussed by CMS.

4. Place of service will determine telehealth services rate

   Explains that telehealth payment would vary by place of service under the proposal. It distinguishes the two telehealth POS categories discussed in the article.

5. Equity and SDoH proposals

   Reviews proposed coding and payment changes tied to health equity, community support, navigation, caregiver-related services, and social determinants of health.

6. Split/shared policy delay

   Describes the proposed extension of the current split/shared approach and the timing change for implementation. It references the related Medicare physician billing policy context.

7. Comment period and future coverage

   Notes the deadline for public comments and indicates that additional analysis of the proposed rule will follow in later coverage.