AAH state update: Tennessee, Ohio, Illinois, Rhode Island
By HME News Staff
Updated 12:52 PM CDT, Mon April 4, 2022
The Tennessee Senate has passed SB 2134, legislation to strengthen access to complex rehab technology. It would prohibit insurers from considering the location where CRT products will be used when making a medical necessity determination; require insurers to offer a prior authorization process for coverage determinations; and require insurers to pay 100% of benefits approved in a prior authorization issued by a plan. The legislation now heads to the Tennessee House for consideration. A companion bill, HB 2048, has already passed the House Insurance Committee…The Ohio Department of Medicaid has announced that CMS has approved the state’s plans to distribute federal ARPA relief for home and community-based service (HCBS) providers, including HME providers. The approval paves the way for HME providers in the state to receive a 10% retroactive lump sum payment for fee-for-service claims from July 1, 2020, through June 30, 2021…Lawmakers in Illinois included legislation to exempt breast pumps and supplies from the state sales tax, HB 4234, in a hearing held on March 24. “As the overwhelming majority of the medical field believes breastfeeding is a medical necessity, sales tax on that process becomes a tax on the health of a child,” testified state Rep. Ann Stava-Murray. Lawmakers in Rhode Island have introduced similar legislation, HB 7867 and SB 2603.
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