On Thu Mar 15, CMS announced the Initiative to Reduce Avoidable 
Hospitalizations among Nursing Facility Residents, a new effort designed to 
improve care for people living in nursing facilities who are enrolled in 
Medicare and Medicaid.  The initiative aims to reduce costly and avoidable 
hospitalizations among nursing facility residents by funding organizations that 
would partner with nursing facilities to provide enhanced on-site services and 
supports to nursing facility residents.  CMS commits up to $128 million to 
support a diverse portfolio of these evidence-based interventions.

The initiative will be run collaboratively by the CMS Medicare-Medicaid 
Coordination Office and the Center for Medicare and Medicaid Innovation, both 
created by the Affordable Care Act to improve the quality and costs of care in 
the Medicare and Medicaid programs.  Through this initiative, CMS will partner 
with independent organizations to improve care for long-stay nursing facility 
residents.  These organizations will collaborate with nursing facilities and 
states to provide coordinated, person-centered care with the goal of reducing 
avoidable hospital stays.  Eligible organizations can include physician 
practices, care management organizations, and other public and not-for-profit 
entities.

CMS issued a Request for Applications on Thu Mar 15; organizations interested 
in participating in this initiative must submit an application by Thu June 14, 
2012.  More information about this initiative, including the Request for 
Applications, is available at http://Innovation.CMS.gov/initiatives/rahnfr, or 
by searching for CFDA 93.621 at www.Grants.gov<http://www.Grants.gov>.

The full text of this excerpted CMS press release (issued Thu Mar 15) can be 
found at
http://www.CMS.gov/apps/media/press/release.asp?Counter=4303.  A media 
factsheet can be found at
http://www.CMS.gov/apps/media/press/factsheet.asp?Counter=4304.

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It's Not too Late to Give and Get the Flu Vaccine. Take advantage of each 
office visit and protect your patients against the seasonal flu. Medicare will 
continue to pay for the seasonal flu vaccine and its administration for all 
Medicare beneficiaries through the entire flu season. The Centers for Disease 
Control and Prevention (CDC) also recommends that patients, healthcare workers 
and caregivers be vaccinated against the seasonal flu. Protect your patients. 
Protect your family. Protect yourself. Get the Flu Vaccine-Not the Flu.


Remember - The flu vaccine plus its administration are covered Part B benefits. 
 CMS has posted the 2011-2012 seasonal flu vaccine payment limits at 
http://www.CMS.gov/McrPartBDrugAvgSalesPrice/10_VaccinesPricing.asp.  Note that 
the flu vaccine is NOT a Part D-covered drug.

For more information on coverage and billing of the flu vaccine and its 
administration, as well as related educational provider resources, visit 
http://www.CMS.gov/MLNProducts/35_PreventiveServices.asp and 
http://www.cms.gov/immunizations.

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