OIG wants $1.9 million, more oversight from New York for Medicaid assisted living program
By
Kathleen Steele Gaivin
Mar 18, 2022
The state of New York should reimburse the federal Medicaid program $1.9 million and strengthen oversight of its Medicaid assisted living program, the U.S. Health and Human Services Department’s Office...
Medi-Cal to drop asset test for Medicaid long-term care benefits
By
Kathleen Steele Gaivin
Mar 14, 2022
Medi-Cal, California’s Medicaid public health insurance program, is dropping its asset test for residents needing long-term care.
Pandemic, wage hike lead state to consider increasing Medicaid funding to assisted living operators
By
Kimberly Bonvissuto
Sep 07, 2021
As pandemic-related costs and a hike in the minimum wage continue to affect the costs of staying in business for assisted living providers, one state is looking at increasing its Medicaid funding to communities.
$3 million Medicaid reimbursement bump a ‘lifesaver’ for some assisted living providers
By
Kimberly Bonvissuto
Jul 28, 2021
A temporary 25% Medicaid reimbursement rate bump is being called a “lifesaver” for some assisted living providers, according to New Jersey senior living associations.
Criminal recoveries for Medicaid fraud in assisted living top $1 million again due to case discovered...
By
Lois A. Bowers
Apr 08, 2021
Fallout from a Medicaid fraud case discovered because of a murder at an assisted living community had an outsized effect on fraud-related criminal monetary recoveries by state Medicaid Fraud Control Units...
Narcotics theft alleged in first Medicaid fraud unit case
By
John O'Connor
Apr 20, 2020
Charlotte Kay Reilly, has become the first person to be prosecuted by the North Dakota Medicaid Fraud Unit. She was charged with theft of prescription medication and reckless endangerment.
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...
Proposed False Claims Act could affect providers outside of Medicaid system, group says
By
Lois A. Bowers
Jan 15, 2020
A proposal to enact a state False Claims Act in Pennsylvania “has the potential to impact the entire long-term care continuum” even though assisted living and personal care communities do not currently...
Could California proposal affect Medicaid in all states?
By
Lois A. Bowers
Jan 13, 2020
California’s plan to establish a single market for drug pricing within the state could set Medicaid policy for the entire country, some experts say, because the federal-state program requires all states...
North Dakota becomes final state with Medicaid Fraud Control Unit
By
Lois A. Bowers
Sep 20, 2019
North Dakota has become the final state to have a Medicaid Fraud Control Unit. The entities investigate and prosecute Medicaid provider fraud and resident / patient abuse and neglect in assisted living...