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CMS Manual System
CMS Manual System Department of Health & Human Services (DHHS) Pub 100-02 Medicare Benefit Policy Centers for Medicare & Medicaid Services (CMS) Transmittal 246 Date: September 14, 2018 Change Request 10517 SUBJECT: Manual Updates Related to Payment Policy Changes Affecting the Hospice Aggregate Cap Calculation and the Designation of Hospice Attending Physicians I. SUMMARY OF CHANGES: This Change Request (CR) updates the Internet Only Manual (IOM) with policies related to section 51006 of the Bipartisan Budget Act of 2018 (Pub. L. 115-123), which amended section 1861(dd)(3)(B) of the Social Security Act (the Act) such that, effective January 1, 2019 , physician assistants (PAs) will be recognized as designated hospice attending physicians, in addition to physicians and nurse practitioners.
A. Background: Section 51006 of the Bipartisan Budget Act of 2018 (Pub. L. 115-123) amended section 1861(dd)(3)(B) of the Act such that, effective January 1, 2019, physician assistants (PAs) will be recognized as designated hospice attending physicians, in addition to physicians and nurse practitioners.
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