Monica Wallace
Subscribe to Monica Wallace's PostsMonica A. Wallace focuses her practice on complex regulatory and transactional counseling to healthcare organizations, including health systems, hospitals, ambulatory surgery centers, physician groups, dental providers, behavioral health clients, integrated delivery systems, academic medical centers, DMEPOS and pharmaceutical manufacturers and suppliers, home health agencies, and venture capital and private equity firms and their health-related portfolio companies. Monica is a practice area leader for the Healthcare Regulatory & Compliance practice. Read Monica's full bio.
CMS Issues FAQs to Aid Pharmacies in Preparing for Medicare Part B Coverage of PrEP Medications
By Gregory E. Fosheim, Monica Wallace, Emily Jane Cook and Jae Hyun Lee on Jun 26, 2024
Posted In Hospitals & Health Systems, Life Sciences, Managed Care
As we previously advised, the Centers for Medicare & Medicaid Services (CMS) is preparing to issue a national coverage determination (NCD) for pre-exposure prophylaxis (PrEP) using antiretroviral drugs to prevent HIV under Medicare Part B. In response to questions from stakeholders, CMS released FAQs on June 25, 2024, to guide pharmacies through certain enrollment and...
Continue Reading
CMS Advises Preparatory Steps for Anticipated PrEP Coverage Transition to Medicare Part B
By Monica Wallace, Emily Jane Cook, Gregory E. Fosheim and Jae Hyun Lee on Apr 25, 2024
Posted In Life Sciences
On April 15, the Centers for Medicare & Medicaid Services (CMS) released a fact sheet on the potential national coverage determination (NCD) for pre-exposure prophylaxis (PrEP) using antiretroviral drugs to prevent HIV. CMS did not announce any coverage changes in the fact sheet but is providing advance information to avoid any possible disruptions to beneficiaries...
Continue Reading
