Medicare Local Medical Review Policies Project
The APA Committee on Aging (CONA) and Office on Aging have embarked on the Local Medical Review Policy Project to work toward increasing the availability
and coverage of psychological services for older adults under Medicare.
Local Medical Review Policies (LMRPs), developed by insurance carriers that serve as Medicare intermediaries, set forth general provisions for acceptance
or rejection of Medicare claims. The report, An Overview of Medicare Coverage for Psychological
Services for Patients with Diagnoses of Dementia or Alzheimer's Disease, is
the first step of the LMRP Project to analyze existing LMRPs for Psychiatric and Psychological Services.
Effective January 2001, The Center for Medicare and Medicaid Services (CMS) required that all intermediaries for Medicare establish an open and public
process for the development of their LMRPs. In addition, recently promulgated provisions of LMRPs for Psychiatry/Psychological Services in NY, CT and MN
have opened the door for an organized approach by psychologists to assist in good decision-making about Medicare policy regarding older adults. A tool
kit is now available to assist in these efforts.
Existing and draft LMRPs for individual Medicare insurance carriers can be found via the CMS website, http://www.lmrp.net/ .
Visitors need to scroll down to "their web site" and then search individual carrier web sites for LMRPs.
|
 |
 Medicare Local Medical Review Policies Tool Kit
The Medicare Local Medical Review Polices Tool Kit (LMRP) provides guidance to practicing psychologists interested in improving Medicare coverage for
psychological services for older adults and other Medicare beneficiaries.
View Took Kit
 PDF format (200K)
HTML format |
|
|
