お知らせ
CMS Roundup (October 18, 2024)
- [登録者]Centers for Medicare & Medicaid Services (CMS)
- [言語]日本語
- [エリア]Baltimore, MD
- 登録日 : 2024/10/18
- 掲載日 : 2024/10/18
- 変更日 : 2024/10/18
- 総閲覧数 : 6 人
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時に破天荒でものびのび遊ぶ子どもたちの姿に触れる時、私たち大人自身が、忘れていた「遊び心」を思い出したり、窮屈になってきている社会について気づかされることもあるでしょう。豊かな遊び環境は地域社会の宝です。私たちは、かけがえのない子ども時代を過ごすより多くの子どもたちが、自分の責任で自由に遊び、育っていくことを支える社会の実現のために、ここに特定非営利活動法人日本冒険遊び場づくり協会を設立することと...
+81-3-5430-1060日本冒険遊び場づくり協会
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+81-438-38-4368hanahaco
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あたたかな光につつまれたような、やさしくやわらかな色合いの花々・・・見ているだけで癒されて、なごむようなフラワーアレンジメントを提供します。大切な方へのギフトやファミリーディナー用のセンターピースはもちろん、学校の入学・卒園式、レストランやオフィスへの生け込みもアレンジいたします。あなたのご希望に合わせてアレンジもできますのでまずはご相談ください♪フラワーアレンジメントのクラスも行っておりますので...
+1 (408) 621-3583Miho's Floral Design
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全米でサービスを行う会計事務所。法人、個人を問わず、タックスリターン(確定申告)、アメリカ会社設立などサポートをしています。マイアミ本社から離れているエリアでも迅速にメールなどで日本語対応いたします!お気軽にご相談ください。
+1 (877) 827-1040Todd's Accounting Services / Mayumi Ozaki (尾崎会計事務所)
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千葉県を拠点として県内各地で警備活動を行っています。交通警備をして20年以上工事現場と周りで暮らす人々の安全を守ってきました。年齢も経験も性別も関係なく幅広い年代の方が働く現場です。千葉エリアの警備はお任せください!
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アメリカで日本と同じサービスを受けられるヘアサロンです。サンフランシスコで日本人美容院の先駆けとして35年もの長きに渡る歴史を持つ美容院を去年の春に譲り受け、Nepenji salonとして営業中。レギュラーパーマから、デジタルパーマ、ストレートパーマまでお任せください。
+1 (415) 921-0135Nepenji
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- 女性の、女性による、女性のためのクリニック。不安なことはご相談ください。保険がな...
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婦人科業務だけでなく、”減量プログラム” ”フェイシャル” ”メディカルスパ”も始めました。女性の悩みを共有する、女性ドクターが繊細な診断、適切な診断によって、病気や心配事と無縁の幸せな生活を送れるようあなたの生活を支援いたします。スタッフすべて女性です。婦人科検診● 子宮頚ガン検査 ● 更年期障害などのホルモン・アンバランス ● 胸のしこり● 超音波検査 ● 生理不順 ● 各種性病検査 ● 避妊...
+1 (323) 828-4152Dr Loraine V. Diego, M.D.
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ワシダオートガレージではお車の修理・メンテナンス・販売・買取・車検などお車に関するあらゆるサポートをいたします!国道沿いに店舗がある為ドライブ中の突然のアクシデントの際も寄りやすいです!paypayや楽天payでのお支払いもの可能です◎
+81-438-53-7718株式会社ワシダ 関東支店
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- シリコンバレーの住宅販売のことならお任せください。住宅売買を通じてお客様の「幸せ...
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住宅探しを通し、お客様の「幸せ」と「快適」をサポートいたします。20年以上の不動産歴から、移り住むことの大変さを理解し、一人でも多くのお客様の住居探しのお手伝いをいたします。一緒にアメリカの「我が家」を見つけましょう。日本でのリタイアメントをお考えの方々のために無料のオンラインセミナーを行っております。日米のCPA、カリフォルニアのトラスト専門の弁護士、ファイナンシャルアドバイザー、日本での手続き...
+1 (408) 582-3777Takami Hamadani - Compass Hamadani Group
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- 「やりたいことが見つからない」「自分に合う仕事はなんだろう」と悩んでいる方、一緒...
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あなたの「働きたい」をサポートします!ちば南部地域若者サポートステーション(サポステ)では、厚生労働省から委託を受けて就労支援を行っております。「自分に向いている仕事がわからない」「仕事をどう探したらよいかわからない」「空白期間やブランクがあって就職活動に不安がある」など、就活あるあるのお悩みなどを是非ご相談ください。履歴書の書き方や面接練習、会社説明会、会社見学、職場体験など、各種就職支援も行っ...
(0438) 23-3711ちば南部地域若者サポートステーション
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- <今なら入会金無料!オータムキャンペーン実施中♪>日本の会社が運営する【日本語の...
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日本国内で6000名以上の音楽家登録のある出張音楽レッスンの会社が提供するオンラインピアノレッスンサービスです。
OTOIRO+(おといろプラス)/株式会社エルパ
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- サンフランシスコ ・ ベイエリアでのリムジンサービスは信頼できます。安心のイシ・...
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もっと安全に。 もっと快適に。 あなたの旅をサポート致します。 空港送迎から観光チャーターまで幅広くご要望にお応え致します。 《ナパ ・ ソノマワナリーツアー》 《サンフランシスコ市内観光ツアー》など、お客様のご希望をお聞きしながら、ご一緒にコースを決めていただく観光チャーターも行っています。
+1 (650) 259-1883Ishi Limousine
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- ニュージャージー、ニューヨークにある日本人学校です。東海岸で唯一の全日制幼小一貫...
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・幼児部・小学部一貫教育による安定した基礎教育・少人数による家庭的な雰囲気の中での伸び伸びとした学習・日米の教育事情に通じた熱心な教師達による生ききした教育・日本の文部科学省学習指導要領に準拠したカリキュラムと英語教育・ニューヨークとニュージャージーの接点に位置し、安全で便利な通学路
+1 (201) 947-4832ニューヨーク育英学園 Japanese Children's Society
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- さっぱりとしたソフトクリームが大人気🍦鴨川のKAMOGAWA SEASIDE B...
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人気のクッキークリームサンドを販売するKOFUKUがカフェをオープン!人気のシトラス&チーズのミックスソフトクリーム をはじめとする柑橘とチーズを使ったスイーツはもちろん、キーマカレーや旬の柑橘を使ったドリンクなどどの季節に来てもどの時間でも楽しんでいただけるメニューが豊富なカフェです🍹鴨川に来た際はぜひお立ち寄りください。
+81-4-7096-5050果房KOFUKU CITRUS&CHEESE
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- 日本向け国際宅配便、買付けの商材発送、ドロップシップメント・転送業務、日本からカ...
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スーツケースに入りきらないお荷物、日本のご自宅までお届けいたします!OCS のおてがる帰国便は日本にご帰国のお客様に便利なサービス!カナダ滞在でお荷物が増えてしまい、お荷物の発送をお考えの方!OCSのおてがる帰国便は簡単にお荷物の発送が可能です。ご自宅まで無料で集荷に伺い、日本のご住所まで配達しますので、重いスーツケースを持って移動する手間が省けます。htttp://kikokujapan.com...
+1 (604) 247-2141OCS Canada
Today, the Centers for Medicare & Medicaid Services (CMS) provides an at-a-glance summary of news from around the agency.
*CMS Proposes Benefit and Payment Parameters for 2026 Marketplace Qualified Health Plans *
October 4: CMS released the 2026 Notice of Benefit and Payment Parameters proposed rule in the Federal Register [ https://www.federalregister.gov/public-inspection/2024-23103/patient-protection-and-affordable-care-act-notice-of-benefit-and-payment-parameters-for-2026-and ]. The 2026 rule outlines proposed requirements for Qualified Health Plans, including deductibles, out-of-pocket limits, and actuarial value levels, in addition to updating market-wide policies, such as risk adjustment calculations, special enrollment periods, and Marketplace user fees. Details can be found in this fact sheet [ https://www.cms.gov/newsroom/fact-sheets/hhs-notice-benefit-and-payment-parameters-2026-proposed-rule ].
*CMS Approves Essential Health Benefits Benchmark Plans for Two States and DC*
October 7: CMS approved Essential Health Benefits (EHB) benchmark plan applications for plan year 2026 and beyond for the states of Alaska and Washington, and the District of Columbia.
Alaska updated its EHB benchmark plan to include coverage for surgical and non-surgical temporomandibular joint disorder care, annual hearing exams and medically necessary hearing aids, and massage therapy. The state also expanded its existing coverage of chiropractic care (from 12 to 20 covered visits annually) and nutritional counseling (to include nutritional screening and counseling, and therapy for the management of obesity).
Washington updated its EHB-benchmark plan to expand coverage for human donor milk, including medically necessary human donor milk in an inpatient setting, for an infant who is medically or physically unable to receive maternal human milk. The state also added coverage for a hearing aid benefit that includes an annual hearing exam and one hearing aid per ear every three years. Additionally, the state added coverage for an artificial insemination benefit.
The District of Columbia updated its EHB benchmark plans to expand coverage for infertility treatment to include all procedures consistent with established medical practices by licensed physicians and surgeons to treat infertility. This would include diagnosis, testing, counseling, medication, and surgery, as well as gamete intrafallopian transfer, in vitro fertilization, and standard fertility preservation services.
Each new EHB-benchmark plan selection and accompanying application documents can be found on the CMS EHB website [ https://www.cms.gov/marketplace/resources/data/essential-health-benefits ].
*CMS* *Releases Informational Bulletin Highlighting Initiative to Modernize Coverage Transitions Between State Medicaid and CHIP Agencies and the Marketplace*
October 10: CMS released an informational bulletin titled Notice of Technology and Process Upgrades for Account Transfer Functionality for States Served by Marketplaces on the Federal Platform [ https://www.medicaid.gov/federal-policy-guidance/downloads/cib10102024.pdf ]. The bulletin introduces Account Transfer 2.0, a multi-year CMS initiative to modernize coverage transitions between state Medicaid and CHIP agencies and Marketplaces on the federal platform. This initiative ensures that eligible individuals have a greater chance of maintaining continuous coverage as they move between insurance affordability programs. Additionally, the new services built by CMS enhance technical assistance to states and reduce state burden and cost for eligibility and enrollment systems. The bulletin highlights planned improvements to the existing account transfer process, anticipated benefits for state Medicaid and CHIP agencies, and opportunities for state engagement. The informational bulletin also reminds state Medicaid and CHIP agencies about the availability of enhanced federal financial participation for any related expenditures.
*CMS Shares Information and Resources in Observance of World Mental Health Day*
October 10: In observance of World Mental Health Day, CMS’ Office of Minority Health shared information and resources to raise awareness about mental and behavioral health in minority and underserved communities. Since 1992, this observance has promoted efforts to end the stigma and discrimination surrounding mental health by highlighting education and resources available to the public. Through the Coverage to Care [ https://www.cms.gov/priorities/health-equity/c2c ] initiative, particularly the Roadmap to Behavioral Health [ https://www.cms.gov/files/document/roadmap-behavioral-health-english.pdf ], CMS is working to help individuals understand which mental health, substance use, and other behavioral health care services are available to them.
*CMS Final Rule Establishes Medicare Appeals Process For Eligible Inpatients Reclassified as Outpatients During Hospital Stay *
October 11: CMS released a final rule establishing appeals processes for certain people with Traditional Medicare who are initially admitted to a hospital as an inpatient, but who are subsequently reclassified as outpatients receiving observation services during their hospital stay and who meet other eligibility criteria. This final rule implements a federal court order (Alexander v. Azar) that directed CMS to establish this appeals process. Details can be found in this fact sheet [ https://www.cms.gov/files/document/medicare-appeal-rights-certain-changes-patient-status-final-rule-fact-sheet.pdf ].
*CMS Releases Tools and Resources as Annual Medicare Open Enrollment Period Begins *
October 15: The annual Medicare Open Enrollment period began October 15, 2024, and ends December 7, 2024, with coverage changes taking effect January 1, 2025. During this time, people with Medicare can compare coverage options, like Traditional Medicare and Medicare Advantage, choose health and drug plans for 2025, and learn about extra help available to those with limited income and resources to pay for Medicare drug coverage. Tools and resources are available at Medicare.gov [ https://link.mediaoutreach.meltwater.com/ls/click?upn=2NqviemW3YF4lD4W3GVIknO4Ca7AaaFBAdYjLcEyRoTzDpznupkIRTcmjsT26mP1e6v0_B0qqY2mKQCnAOf29ixqsrRWGZl9N2S2tuVqJiM4v13Yyv1YwL2VoWHpPxR96VK3fsPCPxYstzuKqv9eDCDQw4Uzz3d9dCGX2Qi6vUiP-2FCc-2FvrAHpKbL8X6vbe-2BCdBKeoHyztcP-2BvUumum3eQmU6GX0SovQyNLf-2FQCbMLx0qBeHwHWbB5Koa2s4tB3BZq4OOVG4QRThT8LL0xhnDZwSHYxKA9LbEKWRsBVp1m05CkZgpQKonG4v4bbj382fTpVJu8rrseggDUvptUjmEYVGFPaU-2BgiTm2XbxbM8PhuZ6N-2FB6zN6oyPSbrfTcsbrtovs047hCcRQ27WIw6DjY9hQ6DxWrBSL3F73fLWlFwf-2B8HGoa5hcA6XtIjHxmvLFozwIjYdvwJ79vJnmpM4xrq19Tf3Q-3D-3D ]. Another important resource for comparing plans is the 2025 Medicare Advantage and Part D Star Ratings; you can read about these ratings in this fact sheet [ https://www.cms.gov/newsroom/fact-sheets/2025-medicare-advantage-and-part-d-star-ratings ].
*CMS Touts Information and Resources in Observance of Health Literacy Month*
October 16: In observance of Health Literacy Month, CMS’ Office of Minority Health is sharing resources to help individuals make informed decisions about their health. Health literacy — the ability to find, understand, and use health information and services — affects nearly every aspect of life, from understanding health coverage options to managing chronic conditions and making choices about the care and services needed. Addressing health literacy can help improve health equity, as people who understand their health care options and how to access them are more likely to make informed health decisions and live longer, healthier lives. Resources include Coverage to Care [ https://www.cms.gov/priorities/health-equity/c2c ] and the Roadmap to Better Care [ https://www.cms.gov/files/document/c2c-roadmap-better-care.pdf ].
*CMS Implements System Changes for the Health Insurance Marketplace to Enhance Security*
October 17: CMS has implemented a system change for applications submitted to the Health Insurance Marketplace®, which includes the Federally Facilitated Marketplace platform and all the states that it supports, through a Classic Direct Enrollment (DE) or Enhanced Direct Enrollment (EDE) agent or broker pathway. The change requires agents and brokers to provide verifiable Social Security Numbers (SSNs) for all applicants who are not newborns. Currently, Marketplace applicants who do not enter an SSN at the time of submitting their eligibility application must provide additional information after application submission to maintain Marketplace coverage or financial assistance. This update streamlines the Marketplace application experience for consumers assisted by agents and brokers and reduce the likelihood that they will have to provide additional information after application submission. Until system updates are made in late December 2024, consumers who do not have SSNs can apply for coverage through the Marketplaces by submitting their own application on HealthCare.gov [ https://www.healthcare.gov/ ]; calling the Marketplace Call Center [ https://www.healthcare.gov/contact-us/ ]; or using an approved Classic DE or EDE [ https://www.cms.gov/marketplace/agents-brokers/direct-enrollment-partners ] partner website with a consumer pathway, with or without the help of an agent or broker.
*Other Recent Releases: *
October 9: Biden-Harris Administration Takes Next Step on Proposed Model to Lower Prescription Drug Costs for People with Medicare [ https://www.cms.gov/newsroom/press-releases/biden-harris-administration-takes-next-step-proposed-model-lower-prescription-drug-costs-people ]
October 10: CMS Announces Resources and Flexibilities to Assist with the Public Health Emergency in the State of Florida [ https://www.cms.gov/newsroom/news-alert/cms-announces-resources-and-flexibilities-assist-public-health-emergency-state-florida-2 ]
October 16: Biden-Harris Administration Takes Groundbreaking Action to Expand Health Care Access by Covering Traditional Health Care Practices [ https://www.cms.gov/newsroom/press-releases/biden-harris-administration-takes-groundbreaking-action-expand-health-care-access-covering ]
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CMS, an agency within the U.S. Department of Health and Human Services, serves the public as a trusted partner and steward, dedicated to advancing health equity, expanding coverage, and improving health outcomes. The agency protects public health by administering the Medicare program and working in partnership with state governments to administer Medicaid, CHIP, and the Health Insurance Marketplace.
Get CMS news at cms.gov/newsroom [ https://www.cms.gov/newsroom ], sign up for CMS news via email [ https://www.cms.gov/About-CMS/Agency-Information/Aboutwebsite/EmailUpdates ], and follow CMS on X (Formerly Twitter) @CMSgov [ https://twitter.com/cmsgov ]
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