Contact Us

If you are a government leader, staff member or policy maker wanting to learn more about case management or what CMSA has to offer, please contact us at:

(501) 225-2229 or email us.

About Case Management & CMSA

Case Managers are at the center of care delivery for patients. They serve as a patient advocate and resource as well as providing critical information and recommendations to the rest of the care team: physicians, surgeons, nurses, administrators, benefits coordinators, employers and family caregivers. In this role they break down silos, open up new efficient paths for health care delivery and ensure the adequate utilization of resources, all while focusing on the primary goal: effective care of the patient.

The Case Management Society of America is the oldest and largest professional organization dedicated to delivery of care management services across practice settings and care models. CMSA provides educational, networking and professional resources for its members and seeks to connect case managers, products and service providers, consumers and policy makers to ensure optimal delivery of care management services. This site is focused on helping legislators and policy makers better understand the role case management plays in health care delivery and how to ensure patients receive the best care possible.

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Resource Kit

Issues & Advocacy

News & Events

Announcements

CMSA's Public Policy Summit
Washington, DC • April 23-24, 2012

Join case management professionals from across the country as they educate Congress on the importance of case management to the effective delivery of health care. Learn how to best utilize grassroots networks for legislative success and network with CMSA’s Public Policy leaders.

CMSA's Public Policy Summit is open to all case management professionals who are passionate about association issues and want to make a difference.

CALL FOR PRESENTATIONS
CMSA's 22nd Annual Conference & Expo
San Francisco, CA • June 19-22, 2012

CMSA is currently building its schedule of events and sessions for its 2012 Annual Conference & Expo. We are seeking potential presenters with in-depth knowledge and impartial perspectives on complementary, integrative, and alternative trends in the health care industry, along with issues, practices, and professional challenges facing case managers.

SUBMISSION DEADLINE:
September 11, 2011

CMSA's Public Policy Summit
Washington, DC • April 5-6, 2011

Join your fellow case management professionals from across the country as they educate Congress on the importance of case management to the effective delivery of health care. Learn how to best utilize grassroots networks for legislative success and network with CMSA’s Public Policy leaders.

CMSA's Public Policy Summit is open to all case management professionals who are passionate about association issues and want to make a difference.

CMSA's Letter to FDA Regarding Bevacizumab

Read CMSA's September 14, 2010 letter to the Food and Drug administration (FDA) in which it implores the FDA to give due consideration to the issue of patient and provider choice as it considers elimination of the indication for use of bevacizumab in the treatment of patients with metastatic HER2-negative breast cancer.

Metastatic breast cancer is an incurable disease that takes the lives of approximately 40,000 women in the United States each year. The decision to remove the indication for this use of bevacizumab effectively eliminates one of the few remaining available treatment options for patients in this dire situation.

Multi-State Licensure

and the Nurse Licensure Compact (NLC)

The Issue — Nurse Licensure rules and regulations were formed when nursing was practiced primarily within the boundaries of one or two states.

With the development of managed care, tele-health and mobile populations, nurses are frequently required to work with patients who travel or reside across multiple state lines. Unlike drivers’ licenses, many state nursing licenses are not recognized by other states.

Current Procedural Terminology (CPT) Coding

The Issue — The Case Management Society of America (CMSA) continues to advocate for a change in Current Procedural Terminology (CPT) code currently in place in the 2008 Physician Fee Schedule.

While the current schedule includes codes related to the delivery of case management services, these codes are a Status N, which means they are non-payable by Medicare. CMSA is working with the Centers for Medicare and Medicaid Services (CMS) in support of funding reimbursing the codes.

CMSA's Letter to NAIC Regarding Medical Loss Ratios

Read CMSA's May 5, 2010 letter to the National Association of Insurance Commissioners (NAIC) requesting that case management be classified as clinical expenses in the medical loss ratio (MLR).

CMSA urges the NAIC to support the classification of these services as either “medical expenses” or “quality improvement expenses” for the purpose of calculating a health plan’s MLR under the requirements of The Patient Protection and Affordable Care Act (PPACA), PL 111-148

Policy News

Policy Activities

Join CMSA in Supporting the National Nurse Act of 2011

Take Action: National Nurse Act of 2011 In solidarity with over 95 nurse-affiliated entities across the nation, the Case Management Society of America (CMSA) strongly supports H.R.3679.IH, or the National Nurse Act of 2011.

The National Nurse Act of 2011 proposes an amendment to the Public Health Service Act for the purpose of establishing a National Nurse for Public Health. If the Act is passed, the current Chief Nurse Officer (CNO) of the Public Health Service will become the National Nurse for Public Health, promoting the former CNO position to a rank and grade equivalent to that of the Deputy Surgeon General.

Under this Bill, the National Nurse for Public Health will be responsible for identifying and coordinating public health priorities within the Office of the Surgeon General. The National Nurse will be responsible for bringing initiatives such as Healthy People 2020 to the attention of communities, organizations, and the public as a whole. As a leader in the Public Health Service division, the National Nurse will serve as a guiding force to advance the nursing profession in areas including research, recruitment, and career development.

One of the ways you can help to make the National Nurse become a reality is to contact your legislators and ask for their support to help pass H.R.3679.IH. Please remember, the National Nurse Act is non-partisan.

Bill-related progress, news, and endorsements can be found on the National Nursing Network Organization’s Bill-dedicated site.

Policy Resources

Case Management Model Act Supporting Case Management Programs
CMSA's Model Act sets forth important standards for case management services with key provisions covering Staff Qualifications, Case Management Functions, Authorized Scope of Services, Payment of Services, Training Requirements, Quality Management Programs, and Antifraud & Consumer Protections. Provisions of the Model Act could be adopted either at the federal or state levels through either legislative or regulatory bodies. Download the Model Act Download the Sample Letter to Legislators

CMSA Legislative Backgrounder
This two-page document provides a good understanding of CMSA and the case management industry, as well as providing an overview of activity important to legislators and regulators. Download the Backgrounder

CMSA Multistate Licensure Position Statement
The purpose of the CMSA position statement is to alert and to encourage individuals and organizations to aggressively encourage the non-Compact State Boards of Nursing to join the Compact or to encourage federal legislation mandating recognition of nurse licensure across state lines. Download the Position Statement

Resource Kit

CMSA has prepared a resource kit to help policymakers better understand the role of case managers and the how effective case management services provide better outcomes for patients, controlling health care expenditures and improving the performance of the US healthcare system.

The kit includes easy- to-understand background information and material for individuals new to case management as well as policymakers well versed in health care issues. The information is provided in a variety of formats so you can easily share this material with your colleagues and constituents.

Quick Links

Template Letter to Newly Elected Legislators

Use CMSA's sample letter to begin building a relationship with your newly elected legislator.

Download the sample letter...

Model Act: Sample Letter to Legislators

Use CMSA's sample letter to share your voice that with those who will be working on bills and regulatory statutes that effect us and our patients through health care change and reform.

Download the sample letter...

2010 Standards of Practice for Case Management

Download a copy of CMSA's Standards of Practice for Case Management (2010 revision) which provides voluntary practice guidelines for the case management industry and are intended to identify and address important foundational knowledge and skills of the case manager within a spectrum of case management practice settings and specialties.

Learn more at:
http://www.cmsa.org/SOP