Center for Medicare Advocacy

Advancing Access to Medicare and Healthcare

May 2016 – Medicare Coverage of Oral Health & Other Issues

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  • ​Welcome and Housekeeping  (David Lipschutz, Moderator) 
  • Medicare’s Coverage of Oral Health (Wey-Wey Kwok) 
    • Medically necessary oral health care
    • Goal: add a comprehensive oral health benefit to Medicare
  • Administrative Update   
  • Proposed Rules
    • Part B Drug Demonstration (David Lipschutz)
    • Hospital Payment Rule and the NOTICE Act (Toby Edelman)
      • Concerns about notice to be given to those in observation status
    • Other rules open for comment
  • Durable Medical Equipment and Dual Eligibles (Kata Kertesz)
  • Administration on Community Living Grant – For Medicare Beneficiaries Under age 65 (Kathy Holt)
    • Next webinar: May 17, 2016 – Medicare Part D, Prescription Drug Coverage, with special emphasis on concerns for this hard-to-reach population.
  • Litigation Update   (Ali Bers)
    • Jimmo (Improvement standard)
      • CMA and Vermont Legal Aid have filed a Motion for Resolution of Non-Compliance with the Settlement Agreement
    • Exley (formerly Lessler) (ALJ Delay Case)
      • Settlement preliminarily approved
    • Barrows (formerly Bagnall) (Observation)
      • Discovery on protected property interest issue; summary judgment briefing
    • Other cases
      • Hull and Olsen-Ecker (Lower level Medicare appeals)
  • Report on Olsen-Ecker oral argument on two motions
    • Ryan (Prior favorable homebound determination)
    • Lodge (Medically necessary oral health care)
    • Bremby (Per se skilled services)
  • General Medicare Q&A (Moderator)
  • Wrap-up  (Moderator)
    • Keep informed: Myths and Truths, other information and updates on the Center’s Website
    • Next Call

REMINDER: Other information available at:
https://www.medicareadvocacy.org/Projects/AdvocatesAlliance/AdvocatesAlliance.IssueBriefs.htm. 

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