Jimmo Fact Sheet The Centers for Medicare and Medicaid Services (CMS)

Q1: What is the Jimmo Settlement Agreement (Janu­ary 2013)?

A1: The Jimmo Settlement Agreement clarified that when a beneficiary needs skilled nursing or therapy services under Medicare’s skilled nursing facility (SNF), home health (HH), and outpatient therapy (OPT) benefits in order to maintain the patient’s current condition or to prevent or slow decline or deterioration (provided all other coverage criteria are met), the Medicare program covers such services and coverage cannot be denied based on the absence of potential for improvement or restoration.

https://www.americanbar.org/groups/law_aging/publications/bifocal/vol–39/issue-1–october-2017-/jimmo-fact-sheet.html

Bifocal A Journal of the ABA Commission on Law and Aging. .

https://www.americanbar.org/groups/law_aging/publications/bifocal.html

 

 

Say What? The Affordable Care Act, Medicare, and Hearing Aids Affordable and Accessible Hearing Health Care: Responding to a Public Health Conce

Say What? The Affordable Care Act, Medicare, and Hearing Aids
Affordable and Accessible Hearing Health Care: Responding to a Public Health Concern
Mary Helen McNeal
About the Author:
Mary Helen McNeal is a Professor and the Director of the Elder Law Clinic at the Syracuse University College of Law. Parts of this article are adapted from a longer article originally published as “Say What? The Affordable Care Act, Medicare and Hearing Aids,” 53 Harv. J. on Legislation 621 (2016) available at http://papers.ssrn.com/sol3/papers.cfm?abstract_id=2794177.
(The pdf for the issue in which this article appears is available for download: Bifocal, Vol. 38, Issue 3.)

Editor’s Note: With the Affordable Care Act’s (ACA) future uncertain under a Trump administration, this article, authored in late 2016, sits in ambiguous territory. That said, regardless of how the ACA fares, the insight into advocacy for those with hearing loss in need of assistance and the overview of recommendations for the future presented by this article are valuable. Part I of this article outlines legal arguments for those in need of an affordable mechanism to obtain hearing assistance, particularly in light of the ACA. Part II summarizes recent recommendations from the National Academies of Science, Engineering and Medicine to expand access to, and the affordability of, hearing aids and other hearing health care.

I. Introduction
Age-related hearing loss is the third most prevalent chronic medical condition impacting older adults, with the incidence increasing with age. And yet, there is very little insurance coverage to pay for the cost of hearing aids; in fact, Medicare statutorily excludes coverage for hearing aids. The dearth of insurance coverage is of particular concern given the mounting evidence of the relationship between age-related hearing loss, called presbycusis, and other medical conditions, including increased falls and hospitalizations, depression, isolation, and diminished cognitive abilities. As the evidence mounts regarding the medical and social consequences of untreated hearing loss, hearing health professionals and advocates are exploring options for increased access to affordable hearing assistance.
Although past efforts to amend the Medicare statute to provide for hearing aid coverage have failed, the Affordable Care Act (ACA)1 provides a lens through which one can reexamine this issue. Part I of this article outlines legal arguments for those in need of an affordable mechanism to obtain hearing assistance, particularly in light of the ACA. Part II summarizes recent recommendations from the National Academies of Science, Engineering and Medicine to expand access to, and the affordability of, hearing aids and other hearing health care.2

See more

One of the most common consequences of aging is hearing loss, representing the third most prevalent chronic medical condition among seniors. Empirical evidence
papers.ssrn.com

Indiana Child Support until Age 19

If you have a child for whom you receive support or for whom you pay support, the age to ask the court to emancipate that child (and thus terminate support) is 19.  However, if you have a child that is intending to go on to post secondary education make sure that you have an order in your case that is before the child turns 19.

Serving the Sweet Owen County Area

This is the post excerpt.

I am pleased to be again practicing in the Sweet Owen County area.  After being gone to the big city of Indianapolis for too long I enjoy the wonderful welcoming and openness of the people of Southern Indiana and hope to be able to provide quality legal services to the people of Southern Indiana.