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...
CMS seeks input on home- and community-based services
By
Lois A. Bowers
Nov 08, 2016
The Centers for Medicare & Medicaid Services is seeking input on ways to accelerate the provision of home- and community-based services to Medicaid beneficiaries. The request comes as many assisted living...
Provider group pushes CMS for more guidance on HCBS
By
Lois A. Bowers
Oct 11, 2016
Delays by CMS in issuing additional guidance on its final rule related to home- and community-based services may mean that assisted living communities are excluded from providing such services to older...
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...
Provider payment reforms should factor in family caregivers: report
By
Lois A. Bowers
Sep 13, 2016
Medicare and Medicaid payment reforms that motivate providers to engage family caregivers in delivery processes should be a priority for the next presidential administration, recommends a new report from...
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...
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...
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.