GME Medicare affiliate agreements provide teaching hospitals with flexibility in the reimbursement of their Medicare-funded GME-Cap slots. In particular, full-time equivalents (TDRs) of hospitals determine the maximum number of residents for whom the hospital is entitled to a GME medicare rebate. Medicare GME membership agreements allow teaching hospitals with GME programs to share a single cap for resident FTEs and redistribute slots and slots. This could, for example, support programs where residents turn to experience in more than one hospital. The essential requirements for Group Agreements related to Medicare are summarized in this GME@Dentons previous insight. Traditionally, Medicare GME membership agreements must be submitted to the hospital`s CMS and Medicare Administrative Contractor (MAC) by July 1 of each year, i.e. before the academic year to which they apply. The agreements are maintained for an academic year. Existing agreements can traditionally be amended until the end of the academic year in question, i.e. until 30 June. The deadline for new or amended Medicare Medical Training (GME) agreements has been extended until January 1, 2021. The GME- Dentons team can help you evaluate all GME Medicare membership agreement plans and help you develop a compliant agreement.
We will keep you informed of developments in the region. CMS announced the time changes in the Covid-19 Blanket Waivers Emergency Declaration, which describes formal regulatory changes under the supervision of Section 1135 of the Social Security Act. The corresponding paragraph states that “the CMS authorizes hospitals to submit new and/or amended GME Medicare affiliation agreements that apply to CMS and CMCs by January 1, 2021.” It also notes that hospitals, as under existing procedures, “should send agreements to CMS to Medicare_GME_Affiliation_Agreement@cms.hhs.gov by e-mail and indicate in the object whether the affiliation agreement is a new agreement or an amended agreement.” Separately, hospitals should also reach their MCS. On September 29, 2020, CMS announced that the deadlines (1) for the presentation of new membership agreements for the academic year have been extended until 1 January 2021 for the presentation of changes to existing membership agreements for the previous academic year, until 30 June 2020. Previously, CMS extended these two deadlines until October 1, 2020 in response to the COVID-19 health emergency.