December 12, 2022

Over the past year, APMA’s advocacy efforts have resulted in positive changes that affect members like you every day. Take a minute to review our most notable health policy advocacy successes of 2022:

• Addressing LCD/LCA process. APMA submitted a sign-on letter of concerns to CMS that included 18 medical societies expressing our collective concerns on how Medicare Administrative Contractors (MACs) are implementing changes to the CAC process with respect to how Local Coverage Determinates (LCDs) and Local Coverage Articles (LCAs) are being developed and reviewed. LEARN MORE
• CAC engagement. APMA held a call with CMS to address cross-agency issues including:
  • Lack of notice/commenting regarding articles
  • Proper nomenclature and placement issues for articles, performance metrics and additional accountability for MACs
  • Need for an ombudsman to coordinate issues LEARN MORE
• 2023 Innovation Grants. The APMA Center for Professional Advocacy awarded 2023 Innovation Grants to 10 states to help with their advocacy initiatives for the upcoming calendar year. LEARN MORE
• State Advocacy Forum. This year’s forum was hosted virtually on August 20. More than 80 members participated, and the event was an overall success. LEARN MORE
• 22nd Annual Joint National CAC-PIAC meeting. The 22nd Annual Joint National Carrier Advisory Committee (CAC) and Private Insurance Advisory Committee (PIAC) Meeting took place on November 11, in Arlington, VA. CAC and PIAC representatives are your state-level leading advocates for Medicare and private insurance reimbursement issues. During the meeting, representatives heard valuable updates on the 2023 Medicare Physician Fee Schedule, private insurance trends, MIPS, and changes to evaluation and management (E/M) coding that will take effect on January 1, 2023. LEARN MORE
• PRF Reporting Portal Reopening. HRSA (The Health Resources and Services Administration) this year accepted requests to Report Late Due to Extenuating Circumstances for Reporting Period 2 through May 18, for PRF recipients who were unable to report during Reporting Period 2 because of extenuating circumstances. This change came after HRSA heard from APMA and other member organizations. LEARN MORE

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