New Federal Regulation a Win for Asthma Management

A new rule recently issued by the Centers for Medicaid and Medicare Services (CMS) has exciting implications for support for asthma management. Beginning January 1, 2014, Medicaid (either directly or through its managed care contractors) will be able to cover and pay for community-based asthma interventions when carried out by asthma educators, healthy homes specialists, or other community health workers, so long as the services have been initially recommended by a physician or other licensed practitioner. Until this rule goes into effect, current Medicaid regulations limit coverage of preventive services to those that are provided by a physician or other licensed practitioner. For more information about the new rule, see this policy brief from the Childhood Asthma Leadership Coalitions.