Assisted living owner pays $150,000 settlement for Medicaid fraud
By
Kimberly Bonvissuto
Jul 08, 2021
The former owner and operator of a Missouri assisted living community has paid a $150,000 settlement in a Medicaid fraud case for falsely billing services that were not provided.
Senators urge Biden to pursue plans to invest in Medicaid HCBS
By
Joe Jancsurak
Feb 08, 2021
Several U.S. senators encouraged the administration to fulfill its campaign pledge to invest $450 billion in Medicaid home- and community-based care. In a Friday letter to President Biden and Vice President...
EHR misuse at center of $21M rehab upcoding settlement for Grand Health
By
James M. Berklan
Jul 12, 2024
The Grand Health Care System and its 12 affiliated skilled nursing facilities will pay more than $21.3 million to settle allegations of therapy upcoding that involved a quota system for keeping billing...
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...
CMS-proposed HCBS rules elicit request for extension of comment period from 5 associations
By
Lois A. Bowers
May 22, 2023
The executive directors of five national organizations are asking the Centers for Medicare & Medicaid Services to extend by at least 30 days the comment periods for two proposed rules related to access...
PA accepting comments on LTSS plan through Oct. 16
Sep 21, 2015
Pennsylvania’s new plan for managed long-term services and supports for older adults and those with disabilities is expected to serve about 450,000 people once it is fully implemented in 2019.
Senators formulate plan to address chronic illness in Medicare beneficiaries
By
Lois A. Bowers
Oct 30, 2016
Improving health outcomes and reducing Medicare costs related to beneficiaries with chronic conditions such as Alzheimer’s disease, diabetes and heart disease are the goals of a bipartisan proposal...
40 states now cover around-the-clock Medicaid HCBS as provided in assisted living
By
Kimberly Bonvissuto
Aug 15, 2022
The number of state Medicaid waiver programs covering around-the-clock home- and community-based services like those provided by assisted living communities has grown over the past couple of decades, according...
New York home care providers say not so fast on legislation that would raise workers’ wages
By
Joe Jancsurak
Mar 22, 2021
New state Senate legislation that would raise home care workers’ wages does not provide sufficient funding for employers to cover that increase, the Home Care Association of New York told McKnight’s...
More than 6 years later, GAO still looking for CMS to act on assisted living recommendation
By
Lois A. Bowers
Mar 19, 2024
The Centers for Medicare & Medicaid Services still has not taken action on a recommendation made by the US Government Accountability Office in a January 2018 report on assisted living, the GAO said in...