Regulations

CMS releases fact sheet on Jimmo v. Sebelius settlement

As MDS 3.0 Insider previously reported, a settlement in the Medicare Improvement Standard case, Jimmo v. Sebelius, was approved on January 24, 2013.

Now CMS has released fact sheet that gives an overview of the settlement and some background information.

Glenda Jimmo of Lincoln, Vt., was the lead plaintiff in a class-action suit filed after Medicare denied her coverage for nurses and home health aides because her condition was “unlikely to improve.” Following this settlement, Medicare coverage is available for skilled maintenance services in the home health, nursing home, and outpatient settings and CMS must now revise its Medicare Benefit Policy Manual, along with a number of other policies, guidelines, and instructions.

The fact sheet spells out what CMS’ plans are for clarifying the policy and educating providers. According to the document, CMS will complete the manual revisions and educational campaign by January 23, 2014, which is within one year of the approval date of the settlement agreement.

Read the fact sheet today.