Update to Chapter 10 of Pub. 100-08 – Enrollment Policies for Home Infusion Therapy (HIT) Suppliers

Mary Madison, RN, RAC-CT, CDP
Clinical Consultant – Briggs Healthcare

The purpose of this Change Request (11954) Change Request (CR) is to make the Medicare Administrative Contractors (MACs) aware of the policies and procedures for enrolling HIT suppliers in Medicare. Enrollment will begin on or after November 1, 2020. Payments will begin on or after January 1, 2021.

The corresponding MLN Matters Number: MM11954 (4-pages) provides information about this new Medicare benefit.

Section 5012 of the 21st Century Cures Act (“the Cures Act”) (Pub. L. 114-255), which amended Sections 1861(s)(2) and 1861(iii) of the Social Security Act (the Act), established a new Medicare HIT services benefit. The Medicare HIT services benefit covers the professional services, including nursing services, delivered in accordance with the plan of care, patient training and education (not otherwise covered under the DME benefit), remote monitoring, and monitoring services for the provision of HIT and home infusion drugs furnished by a qualified HIT supplier. This benefit will ensure consistency in coverage for home infusion benefits for all Medicare beneficiaries. This new benefit becomes effective on January 1, 2021.