New York state on the hook for $54M+ in bogus Medicaid payments
By
Joe Jancsurak
Dec 15, 2020
The federal government would like the state of New York to return more than $54 million in improper Medicaid payments related to its personal care services program.
2 arrested in assisted living fraud case
By
Lois A. Bowers
Jun 27, 2016
Two Florida mental health counselors have been arrested for allegedly defrauding the state’s Medicaid program of more than $360,000 by submitting false claims for assisted living services.
Managed long-term care costs cited as one of largest Medicaid programs plans $2.5 billion in cuts
By
Lois A. Bowers
Jan 23, 2020
New York’s Medicaid program would see $2.5 billion in cuts under a $178 billion state budget proposal outlined Tuesday by Gov. Andrew Cuomo. Increasing costs in the program are due in part to costs related...
Most continuing care retirement communities are not ‘isolating’ settings, CMS clarifies in guidance...
By
Tim Mullaney
Mar 24, 2014
Continuing care retirement communities don’t create the same problem of isolation as skilled nursing facilities, according to new guidance on a recently finalized Medicaid regulation.
Spending on HCBS continues to comprise more than half of total Medicaid LTSS outlay, CMS finds
By
Joe Jancsurak
Jan 22, 2021
The Centers for Medicare & Medicaid Services recently released the Medicaid LTSS Annual Expenditures Report for federal fiscal years (FFY) 2017 and 2018. This report discusses the long-term services and...
Home care program allowed discriminatory requests for visiting aides, lawsuit alleges
By
Joe Jancsurak
Nov 02, 2020
A state contractor that coordinates home healthcare visits under Connecticut’s Medicaid program repeatedly has accommodated “discriminatory requests by Medicaid home health care recipients not to send...
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...
New administration, Congress bring increased scrutiny on senior living: NIC panel
By
Kimberly Bonvissuto
Jan 28, 2021
Long-term services and supports, value-based care and regulatory scrutiny are among the key issues facing senior living providers one week after President Biden’s inauguration.
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...