Currently, most of the Medicare waivers that were developed during the COVID-19 pandemic are scheduled to end on March 31, 2025. This includes the geographic and origination site restrictions and the in-person requirements for telehealth services. Unless Congress passes legislation to extend the waivers, clinical social workers and other Medicare providers may be required to adhere to pre-COVID Medicare reimbursement guidelines. This may significantly impact clinical social workers and other providers who have closed their in-person offices and developed telehealth practices.
The 2024 Medicare Physician Fee Schedule final rule details services that social workers can provide to address health-related needs for Medicare Part B beneficiaries. This resource describes Social Determinants of Health (SDOH) Risk Assessment, Community Health Integration (CHI) Services, and Principal Illness Navigation (PIN) Services. It clarifies the role of social workers in delivering these services to support patients with medical and social needs.
Updates on what social workers need to know now.
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