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...
Medicaid block grant proposal ‘must be carefully evaluated,’ provider group says
By
Lois A. Bowers
Sep 19, 2019
A plan that would make Tennessee the first state to receive its Medicaid funding via a block grant “must be carefully evaluated,” the executive director of the Tennessee Health Care Association...
Former Fed Chair Janet Yellen talks about recession, minimum wage, immigration, entitlements and ‘root...
By
Lois A. Bowers
Sep 13, 2019
Janet Yellen hit on numerous topics Thursday in the opening session of the National Investment Center for Seniors Housing & Care Fall Conference.
Philip Esformes sentenced to 20 years in prison in healthcare fraud case
By
Lois A. Bowers
Sep 12, 2019
Former Florida assisted living and skilled nursing facility owner Philip Esformes has been sentenced to 20 years in prison for his role in a case that the federal government continues to describe as “the...
Affiliations pose risk to Medicaid, Medicare participation under new CMS rule
By
Lois A. Bowers
Sep 06, 2019
Under a final rule issued Thursday, Centers for Medicare & Medicaid Services can deny or revoke Medicaid and Medicare program enrollment from providers and suppliers if an owner or manager is directly...
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...
HHS Office of Inspector General plans assisted living report
By
Lois A. Bowers
Aug 16, 2019
Assisted living providers who serve Medicaid beneficiaries will be the focus of a report released by the Department of Health and Human Services Office of Inspector General in fiscal year 2020, the office...
Personal care service reforms make OIG list of top unimplemented recommendations
By
Lois A. Bowers
Jul 23, 2019
A new report from the Department of Health and Human Services Office of Inspector General references personal care services and personal care services attendants, long-term care employee background checks...
OIG finds potentially ‘significant’ health and safety issues at HCBS sites
By
Lois A. Bowers
Jul 17, 2019
Kentucky put at risk the health and safety of some older and disabled adults receiving home- and community-based services through section 1915(c) Medicaid waivers because its annual inspections were “insufficient,”...
More news for Wednesday, June 26
Jun 26, 2019
Providers receive two-year reprieve on non-emergency transport coverage … Operator faces lawsuit after resident allegedly left in hot van for 6 hours … Insurer focuses on health apps to improve...