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Medicare Home Infusion Therapy Benefit: New Opportunities and New Challenges for Pharmacies | Arnall Golden Gregory LLP


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More than seven months in from the effective date of the new Medicare Part B Home Infusion Therapy (HIT) services benefit, opportunities abound for pharmacies enrolled as qualified HIT suppliers. But challenges remain, primarily at the state level, as the adaptation of state regulatory structures has lagged despite the enactment of federal legislation establishing the benefit in 2016 and promulgation of final implementing regulations in late 2020. With new payment rates for HIT proposed by the Centers for Medicare and Medicaid Services (CMS) and a new Medicare enrollment protocol for HIT suppliers implemented in June 2021, however, the federal framework for the benefit is fully established and will allow for states to make any further changes to their own licensing and regulatory structures to accommodate the new benefit. ....

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