CMS issues new guidance on HCBS final rule, but provider concerns remain
By
Lois A. Bowers
Mar 25, 2019
The Centers for Medicare & Medicaid Services on Friday issued new guidance meant to clarify where Medicaid beneficiaries can receive home- and community-based services as defined in a 2014 regulation,...
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...
AHCA’s Haarmann chairs Partnership for Medicaid committee
Oct 21, 2015
Caroline Haarmann, senior director for medicaid policy for the American Health Care Association, has been appointed chair of the policy committee of the Partnership for Medicaid, where she also represents...
State compliance status could affect assisted living providers that provide HCBS
By
Kimberly Bonvissuto
Dec 20, 2023
Assisted living operators that provide home- and community-based services to residents who are Medicaid beneficiaries could be affected as states continue to come into compliance with the provisions of...
Paperwork causing many Americans to lose Medicaid coverage, White House warns
Jul 31, 2023
Changes are happening now because a prohibition on removing Medicaid coverage during the pandemic has now been lifted.
Home-based primary care demonstration project scores another win
By
Diane Eastabrook
Aug 02, 2021
Home-based primary care proved to reduce healthcare costs and hospital admissions for the sixth year in a row, according to a Centers for Medicare and Medicaid Services (CMS) demonstration project.
CMS needs to improve handling of beneficiary data, GAO says
By
John O'Connor
May 13, 2018
The Centers for Medicare & Medicaid Services needs to improve how it handles shared beneficiary data, according to the Government Accountability Office.
Assisted living, affordable housing residents could be affected by Medicaid block grant plan, advocates...
By
Lois A. Bowers
Jan 30, 2020
The Trump administration is expected to announce Thursday a major change to the Medicaid program that would allow states to convert part of their federal funding into a block grant with a fixed cap.
Report recommends changes for programs serving dual-eligible beneficiaries
By
Lois A. Bowers
Sep 20, 2016
A new report from the nonprofit Bipartisan Policy Center recommends regulatory, payment and operational changes for programs serving dual-eligible beneficiaries. The authors also suggest that CMS test...
Healthcare-related False Claims Act settlements, judgments top $5 billion
By
Kathleen Steele Gaivin
Feb 03, 2022
Healthcare industry-related settlements and judgments from civil cases involving fraud and false claims uncovered by the Department of Justice in the fiscal year ending Sept. 30, 2021, topped $5 billion,...