The “blanket waiver” system now in effect eases a wide range of requirements, but CMS still won’t reimburse for telehealth by PTs.
President Donald Trump’s declaration of a national emergency in response to the coronavirus pandemic has resulted in enactment by the Centers for Medicare and Medicaid Services of special waiver provisions that affect a broad range of activities and settings in Medicare, Medicaid, and the Children’s Health Insurance Program, or CHIP. The so-called “1135 waivers” — a reference to section 1135 of the Social Security Act — are being offered temporarily to clinicians and facilities.
Here are some important elements of the 1135 waiver process you need to understand.
These are “blanket waivers” that automatically authorize providers to take advantage of the changes — but CMS wants you to notify your survey agency and CMS regional office before you do.
The waivers are available immediately and cover everything from general payment policies to admission requirements for facilities. CMS offers a fact sheet on the waivers available; if you believe a specific waiver would be helpful, contact your state survey agency as well as your CMS Regional Office.