Interested in ET3? Find Out How to Prepare.
A PWW Media Webinar Recording
The Centers for Medicare & Medicaid Services (CMS) just released the Request for Applications (RFA) for the Emergency Triage, Treat, and Transport (ET3) Model. CMS is not accepting applications at this time, but it released the RFA so ambulance services can start preparing today. The ET3 Model is a voluntary, five-year program that, for the first time, offers Medicare reimbursement for transports to alternative destinations and for treatment in place. The payment model is designed to improve the quality of care and lower costs to Medicare by reducing avoidable transports to the hospital ED and potentially reducing avoidable inpatient admissions. The RFA outlines essential criteria for participation including that applicants must provide information about their current compliance programs to participate.
This webinar recording covers:
- Compliance Programs. The RFA says “Each Applicant will be required to provide information about current compliance programs and describe plans to ensure compliance with all relevant Medicare and federal fraud and abuse laws.” We’ll discuss the key elements CMS is looking for in a compliance program.
- Medical Necessity. CMS says that medical necessity will apply to transports to alternative destinations. We’ll cover what CMS will likely look for when making determinations of medical necessity under ET3.
- Alternative Destinations. There are a number of options ranging from urgent care centers to sobriety clinics. We’ll discuss additional eligibility requirements from the RFA and the agreements you will need.
- Region Eligibility. The RFA requires a certain number of Medicare FFS emergency transports in your region. Find out the requirements and which regions will be given preference.
- Telehealth for Treatment in Place. There are specific requirements and two-way radio isn’t enough. Find out what capabilities you’ll need.
- Qualified Healthcare Practitioner (QHP). Treatment in place must involve and QHP. We will identify who this can be and recommend strategies to fulfill this requirement.
This webinar recording is approved for 1.5 hours of CAC, CACO and CAPO CEU credit.