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Key takeaways from the CMS interim final rule - Bozeman Daily Chronicle - 足球世界杯

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6月1日,医疗保险和医疗补助服务中心(CMS)公布了一项备受期待的临时最终规定,为各州实施医疗补助工作要求提供指导。该规定采取了对医疗虚弱的限制性定义,这与各州此前的预期有所不同,并将医疗虚弱与个人是否能满足社区参与要求(包括工作或志愿活动)联系起来。

CMS指出,各州使用的名单将接受审计。如果发现某州在认定个人医疗虚弱方面缺乏充分证据,未能证明其身心健康状况严重影响其遵守社区参与要求的能力,则该州将不符合规定,并可能面临经济处罚。

规定要求各州在向个人索取信息前,必须使用前12个月的索赔和就诊数据来核实医疗虚弱状况。然而,仅凭索赔数据来核实个人工作能力将十分困难。

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