Neuropsychology Medicare Impact Network: IOPC carrier Advisory Initiative
90% of all Medicare coverage decisions are made through the Local Coverage Determination process (LCD), controlled by the Medicare Administrative Contractors (MACs). Coverage decisions made by each MAC may influence coverage decisions in other MACs, and have a profound effect on coverage decisions in the private insurance market. The Inter Organizational Practice Committee (IOPC) is developing a national network of neuropsychologists to provide input into the LCD decision-making process through participation in their state’s Carrier Advisory Committee (CAC).
Each MAC welcomes delegates from medical specialties to sit on their states’ CAC. The CACs meet quarterly to discuss information about upcoming policy changes, healthcare reform, and issues such as post service audits (all critical to our practices). Through CAC participation, input is provided to the MAC that may influence Local Coverage Determinations.
Many other medical specialties, like Ophthalmology and Radiology, have a national coordinated effort to place a specialist from each state in their Medicare Carrier’s CAC. This allows the national organizations to gather information from all of the regions, and potentially impact LCD decisions. The delegates meet once a year to strategize. The IOPC is developing such a network of at least one neuropsychologist in each state who will be placed on their state’s CAC.
Within the next two years, the IOPC Neuropsychology Medicare Impact Network taskforce has a goal of placing a neuropsychologist in each state’s Medicare CAC. We are looking for neuropsychologists who play an active role in their State Psychological and Territorial Associations (SPTAs), as SPTA support is key to being placed on a CAC.
IOPC Neuropsychology Medicare Impact network support:
Once up and running, the Neuropsychology Medicare Impact national network will meet annually, in person, at one of the national neuropsychology conferences. We will also have a listserv for CAC members and an initial training webinar.