HCBS enrollment up but expenditures per participant down
By
Lois A. Bowers
Jan 29, 2018
The number of participants and overall expenditures for state Medicaid 1915(c) waiver programs increased from 2013 to 2014, but average expenditure per participant decreased during that time, according...
Medicaid pays $6.6 billion for HCBS for older adults through Section 1915c waivers
By
Lois A. Bowers
Jan 22, 2021
Expenditures for home- and community-based services for Medicaid-eligible older adults and disabled individuals through Section 1915(c) waivers, used by some assisted living providers and others, topped...
HCBS confusion could harm assisted living providers, senators tell CMS
By
Lois A. Bowers
Sep 07, 2016
Confusion surrounding the provision of home- and community-based services under a final rule issued by the Centers for Medicare & Medicaid Services in 2014 may limit the ability of assisted living and...
Proposed HCBS rule could diminish service access, hamper provider retention efforts, 11 senators tell...
By
Lois A. Bowers
Feb 20, 2024
A proposed federal rule that would require providers of home- and community-based services to spend at least 80% of the Medicaid payments they receive for personal care, homemaker and home health aide...
Bipartisan effort probes federal oversight of Medicaid managed LTSS programs
By
Lois A. Bowers
Sep 03, 2019
Sept. 13 is the deadline Sens. Chuck Grassley (R-IA) and Bob Casey (D-PA) on Friday gave to Centers for Medicare & Medicaid Administrator Seema Verma and the directors of the eight external quality review...
Lack of affordable housing impedes integration of care, services
By
Lois A. Bowers
Jun 20, 2016
A paucity of affordable housing is a major impediment to integrating care and long-term services and supports in assisted living settings, according to speakers at a Bipartisan Policy Center meeting Monday.
Could California proposal affect Medicaid in all states?
By
Lois A. Bowers
Jan 13, 2020
California’s plan to establish a single market for drug pricing within the state could set Medicaid policy for the entire country, some experts say, because the federal-state program requires all states...
Provider groups decry ‘chronic underfunding’ as CMS introduces HCBS quality measures
By
Lois A. Bowers
Jul 22, 2022
The federal government’s introduction Thursday of quality measures for the home- and community-based services offered by assisted living and other providers comes in the midst of “longstanding, chronic...
North Dakota becomes final state with Medicaid Fraud Control Unit
By
Lois A. Bowers
Sep 20, 2019
North Dakota has become the final state to have a Medicaid Fraud Control Unit. The entities investigate and prosecute Medicaid provider fraud and resident / patient abuse and neglect in assisted living...
CMS-proposed HCBS rules elicit request for extension of comment period from 5 associations
By
Lois A. Bowers
May 22, 2023
The executive directors of five national organizations are asking the Centers for Medicare & Medicaid Services to extend by at least 30 days the comment periods for two proposed rules related to access...