CareCentrix modifies CPAP policy

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Thursday, February 6, 2020

WASHINGTON – CareCentrix has told AAHomecare it plans to modify its new co-pay collections policy for PAP patients with balances of more than 180 days.

According to AAHomecare, CareCentrix plans to modify the policy as follows:

·      If a patient’s account is not suspended prior to the initial rental of PAP equipment, then rental, PAP repair and PAP replacement payments will not be interrupted. CareCentrix requests providers temporarily suspend PAP supplies until patients establish payment arrangements, and it will not provide authorization for these supplies.

·      The suspension policy will not affect patients who are on other life sustaining services, such as oxygen.

·      Notification of suspension will be shared through the HomeBridge provider portal. Effective March 17, providers will be notified during the authorization process in real time if the patient is in a suspension state now or in the past. Effective in April, real time notification during the authorization process will be expanded to include patients with a future suspension date. Additionally, providers can download a list of patients flagged for suspension with suspension dates at least 60 days in the future through HomeBridge.

The modifications were made in response to concerns from AAHomecare and HME providers.

CareCentrix began requesting earlier this year that providers temporarily pause PAP equipment/supplies to patients with out-of-pocket balances of more than 180 days old, until it sets up payment arrangements with those patients.

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