Provider groups decry ‘chronic underfunding’ as CMS introduces HCBS quality measures
By
Lois A. Bowers
Jul 22, 2022
The federal government’s introduction Thursday of quality measures for the home- and community-based services offered by assisted living and other providers comes in the midst of “longstanding, chronic...
CMS’ spending requirement in HCBS rule ‘not the right approach,’ senior living advocates say
By
Lois A. Bowers
Jul 06, 2023
A proposal that the Centers for Medicare & Medicaid Services says is meant to “support and stabilize the direct care workforce” in home- and community-based settings, if it becomes final, ultimately...
Nov. 18 is new deadline for comments on CMS-proposed quality measures for HCBS
By
Lois A. Bowers
Oct 20, 2020
The Centers for Medicare & Medicaid Services has extended the deadline until Nov. 18 for those who would like to provide feedback its proposed national quality and outcomes measures for the Medicaid-funded...
Affiliations pose risk to Medicaid, Medicare participation under new CMS rule
By
Lois A. Bowers
Sep 06, 2019
Under a final rule issued Thursday, Centers for Medicare & Medicaid Services can deny or revoke Medicaid and Medicare program enrollment from providers and suppliers if an owner or manager is directly...
Medicaid block grants will help address ‘looming cost crisis’ due to aging population, CMS says
By
Lois A. Bowers
Jan 31, 2020
The Medicaid block grant program announced Thursday by the Centers for Medicare & Medicaid Services won’t directly affect elderly and disabled beneficiaries, CMS Administrative Seema Verma said, but...
Medicaid spent $776 million on HCBS waivers for older adults in 2014, CMS says
By
Lois A. Bowers
Nov 13, 2016
The Medicaid program spent almost $776 million on 1915(c) waivers to cover home- and community-based services for older adults in fiscal year 2014, according to a new report from the Centers for Medicare...
CMS seeks feedback on quality measures proposed for HCBS
By
Lois A. Bowers
Sep 21, 2020
The Centers for Medicare & Medicaid Services is seeking feedback on proposed national quality and outcomes measures for the Medicaid-funded home- and community-based services provided for older adults...
MFCU efforts result in 17 assisted living convictions, $265,000 in recoveries in FY 2022: OIG report
By
Lois A. Bowers
Mar 14, 2023
Efforts by state Medicaid Fraud Control Units resulted in a total of 17 criminal convictions and $265,040 in criminal case recoveries related to assisted living in fiscal year 2022, according to a new...
Philip Esformes sentenced to 20 years in prison in healthcare fraud case
By
Lois A. Bowers
Sep 12, 2019
Former Florida assisted living and skilled nursing facility owner Philip Esformes has been sentenced to 20 years in prison for his role in a case that the federal government continues to describe as “the...
Report is ‘new territory,’ GAO director says
By
Lois A. Bowers
Feb 06, 2018
A new report about federal oversight of Medicaid beneficiaries who live in assisted living communities is “new territory” for the Government Accountability Office, the report’s author...