Medicare would pay hospitals for eligible stroke diagnosis and treatment in their mobile units on or after January 1, 2027.
Medicare would pay for eligible stroke care from hospital-operated mobile units as hospital outpatient care, for services provided on or after January 1, 2027.
On or after January 1, 2027, hospital-operated stroke units would receive 5% extra for eligible care during ambulance meetups if care occurs or the ambulance trip starts in a rural area.
Eligible mobile stroke care provided on or after January 1, 2027, would be excluded from hospitals’ operating costs for patients admitted to the hospital.
Medicare would pay for eligible mobile stroke care as care at the hospital’s on-campus outpatient department. The rule would cover hospital-operated mobile units that diagnose, assess, or treat symptoms of a sudden stroke. The care must qualify for coverage when provided in a hospital outpatient department. This payment would replace any other payment for the same care under the same part of Medicare.
Medicare would pay 5% more for eligible care when a mobile stroke unit meets an ambulance. The hospital-operated unit must meet the patient between the ambulance trip’s starting point and destination to provide care sooner. The care must qualify for Medicare coverage in a hospital outpatient department. Care must occur in a rural area, or the patient’s ambulance trip must have started in one.
Medicare would exclude the covered mobile stroke care from hospital inpatient operating costs. The exclusion would cover hospital-operated mobile units’ care to diagnose, assess, or treat symptoms of a sudden stroke. The care must qualify for coverage when provided in a hospital outpatient department.
No hearings or votes scheduled.