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January Advocacy Updates

Jan 04, 2019

Ringing in the New Year and the New Congress

The 116th Congress began on January 3, 2019 and many elected representatives are serving for the first time—in fact, about 20% of the 116th Congress is newly elected to their seats. Learn more about the new Congress in our latest advocacy blog post. As the new Congress takes shape, now is the perfect time to contact your elected representatives to introduce yourself, talk about diabetes and health care, and let them know the reintroduction of the Expanding Access to DSMT bill will be coming soon!

Join AADE's First Advocacy Townhall

Mark your calendar! The AADE Advocacy Committee will be hosting its first-ever advocacy tele-townhall meeting on Wednesday, January 23 at 6:00pm EST. This townhall meeting is open to all AADE members and is meant to connect diabetes educators who are active advocates or interested in learning more about advocacy. We will begin the townhall with a series of updates from the Advocacy Committee and AADE staff on current advocacy initiatives, like the Expanding Access to Diabetes Self-Management Training (DSMT) act, and state efforts like Medicaid coverage for CGM systems and non-medical switching.

We also want to hear from you! What are you working on in your state? What questions do you have? We hope to create a platform where diabetes educators can connect with one another, share information and discuss strategies for navigating advocacy challenges. We hope you’ll join us for this inaugural call. Click here to sign up for the call on January 23.

Medicare Payment Updates for 2019

On November 1, the Centers for Medicare & Medicaid Services (CMS) released the Medicare Physician Fee Schedule (MPFS) final rule. This rule updates payment rates for calendar year 2019 and addresses other Medicare policies, including improvements to Medicare recognition of telehealth services and updates to the Quality Payment Program (QPP). These changes will apply to services furnished under the MPFS on or after January 1, 2019. 

What do I need to know? Click here to view the highlights or read the full analysis.

AADE to Launch “Empowering People with Diabetes: Addressing Non-Medical Switching” Toolkit

In early 2019, AADE will be releasing an advocacy toolkit called “Empowering People with Diabetes: Addressing Non-Medical Switching.” This toolkit, sponsored by Janssen Pharmaceuticals, Inc., will contain resources like tip sheets, infographics, advocacy information and other documents diabetes educators can use to educate and empower people with diabetes to stay on their prescribed medications when faced with non-medical switching. Diabetes educators can play a powerful role in advocating for people with diabetes and making individuals aware of the options they have in appealing insurer decisions regarding non-medical switching. Lookout for this toolkit, expected to hit your inbox in January.

 

AADE and California CB Address California Children’s Services’ (CCS) Policy Change on Coverage for CGM Systems

AADE and the AADE California CB sent a joint letter to the California Department of Health Care Services (DHCS) addressing a recent policy change that negatively impacted coverage for therapeutic continuous glucose monitoring (CGM) systems for children with diabetes who are covered under the California Children’s Services (CCS) program. This policy change was an attempt to align the program with Medi-Cal policies and to better reflect the current Medicare coding process for CGM systems. AADE and the California CB urged the California DHCS and the California Governor’s office to promptly reconsider this policy change and work to implement policies that put the person with diabetes at the center of the decision-making process. We received an immediate response from DCHS notifying us that they had identified a temporary solution and would continue to evaluate options regarding the most appropriate way to move from the out of date local codes to the federally approved codes, which is what prompted the initial policy change. DHCS indicated that they would be communicating this information to impacted manufacturers and other interested parties. 


 

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