Reducing improper payments made from the Medicare and Medicaid programs is a big step that the federal government can take to improve the country’s long-term fiscal health without legislative action,...
On second thought, many Republican governors OK with expanded Medicaid payments
By
John O'Connor
Dec 16, 2016
Republican lawmakers preparing to repeal the Affordable Care Act are getting blowback from an unlikely source: Republican governors whose states have benefitted from enhanced federal Medicaid funding.
Medicaid spent $776 million on HCBS waivers for older adults in 2014, CMS says
By
Lois A. Bowers
Nov 13, 2016
The Medicaid program spent almost $776 million on 1915(c) waivers to cover home- and community-based services for older adults in fiscal year 2014, according to a new report from the Centers for Medicare...
45% of Medicaid LTSS beneficiaries are older adults
By
Lois A. Bowers
Nov 10, 2016
Forty-five percent of the more than 4.8 million beneficiaries of Medicaid long-term services and supports were aged 65 or more years in 2012, according to a new report issued by the Centers for Medicare...
OIG plans review of Medicaid waivers, employee background checks, more
By
Lois A. Bowers
Nov 10, 2016
Reviews of Medicare and Medicaid payments, fraud and abuse, and employee background check efforts are some of the items on the agenda for the Department of Health and Human Services Office of Inspector...
Court: Service plan required for assisted living benefits under Medicaid
By
Lois A. Bowers
Oct 03, 2016
The state of Ohio will not be required to pay retroactively for benefits that Medicaid-eligible assisted living residents received before their written service plans were approved by the state, the U.S....
Medicaid fraud unit action results in 15 assisted living convictions
By
Lois A. Bowers
Sep 21, 2016
Assisted living facilities were involved in 14 criminal convictions for abuse or neglect and one for fraud based on the actions of State Medicaid Fraud Control Units in fiscal year 2015, according to the...
CBO: Medicare, Medicaid, Social Security share blame for deficit increase
By
Lois A. Bowers
Aug 24, 2016
The federal budget deficit will increase in relation to economic output for the first time since 2009, according to an updated economic outlook issued Tuesday by the Congressional Budget Office. Spending...
New Medicaid rule requires patient-centered care for home- and community-based services, defines HCBS...
By
Tim Mullaney
Jan 13, 2014
Long-term care providers offering home- and community-based services will have to administer person-centered care to qualify for payments through Medicaid, under a final rule issued Friday by the Centers...
‘Far more people’ receive HCBS than institutional services, CMS says
By
Lois A. Bowers
Sep 30, 2024
“Far more people” received home- and community-based services such as those provided in some assisted living communities and other settings than institutional services such as those provided in nursing...