New administration likely to scrutinize MA plans more closely, address Medicaid HCBS issues, policy experts...
By
Liza Berger
Jan 28, 2021
Medicare Advantage (MA) will continue to grow significantly and offer flexibility, but the Biden administration likely will be scrutinizing plans more carefully, according to two highly respected healthcare...
Virginia’s home care workers at risk without Medicaid rate increase, lawmakers and providers say
By
Joe Jancsurak
Jan 27, 2021
A minimum wage hike might sound like a great step for home care. But unless Medicaid reimbursement rises as well, it puts home care agencies in a difficult position. That is what two Virginia state lawmakers...
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...
Medicaid waiver enrollees put at risk of unnecessary nursing home placement, lawsuit claims
By
Joe Jancsurak
Jan 12, 2021
Older adults and people with disabilities who are enrolled in a New Hampshire Medicaid waiver program are suing the state, alleging that officials failed to properly administer the waiver, placing them...
Home care provider submitted $76K in fraudulent Medicaid claims, state says
By
Joe Jancsurak
Jan 04, 2021
A home care services provider in Mandan, ND, allegedly submitted $76,000 worth of fraudulent Medicaid claims for an impossible amount of hours worked in a single day, according to an affidavit filed by...
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.
Home healthcare owner defrauds Medicaid of $1M, receives 5-year sentence
By
Joe Jancsurak
Dec 04, 2020
The owner and operator of an Atlanta-based home healthcare provider has been sentenced to more than five years in prison for defrauding the Medicaid program out of almost $1 million.
2-pronged approach could extend Medicaid telephonic or audio-only coverage after pandemic: expert
By
Joe Jancsurak
Oct 22, 2020
States could take a two-pronged approach to extend Medicaid telephonic or audio-only coverage beyond the pandemic, according to Jacqueline Marks, a manager with the Manatt Health division of the Manatt,...
The Centers for Medicare & Medicaid Services has announced the addition of 11 new services to the Medicare telehealth services list, which now totals 144.
Medicaid expansion filled unmet needs for home health, other long-term care: JAMA
By
Kimberly Marselas
Oct 01, 2020
Broader Medicaid eligibility was associated with a significant increase in the use of long-term care — both institutional and at-home services — according to a study in JAMA Network Open.