Bill aims to prevent Medicaid Access Rule implementation
By
Kimberly Bonvissuto
Apr 29, 2024
The Centers for Medicare & Medicaid Services would be prohibited from implementing the Medicaid Access Rule under a bill introduced last week in the House of Representatives.
CMS updates spousal impoverishment standards
By
Lois A. Bowers
May 22, 2024
The Centers for Medicare & Medicaid Services on Wednesday announced updated 2024 spousal impoverishment standards, which apply when married individuals seek coverage of certain long-term services and supports...
2011 to 2020 saw increase in annual prescription meds expenditures
Apr 15, 2024
Metabolic agents were the most costly category; antidiabetic agents were the mostly costly therapeutic area.
Integration of Medicaid physical, mental health does not aid outcomes
Jan 08, 2024
No significant benefits were seen for most measures of utilization, quality and outcomes.
CMS changes quality measure set for home- and community-based services
By
Lois A. Bowers
Apr 15, 2024
The Centers for Medicare & Medicaid Services announced changes to the quality measure set for home- and community-based services and described reporting requirements for Money Follows the Person grant...
Med-management software company releases new tool for nursing facilities to meet new need for CMS compliance
By
Aaron Dorman
Sep 20, 2023
To meet new CMS rules for nursing homes, one company is releasing a new service that focuses on ensuring a patient’s medication listings are up-to-date.
New group will advocate for dually eligible nursing home residents, other beneficiaries
By
Kathleen Steele Gaivin
Feb 22, 2024
A newly formed alliance of healthcare and consumer organizations has formed to advance the integration of Medicare and Medicaid for dually eligible nursing home residents and other older adults.
NY assisted living providers hopeful for rate bump for Medicaid-funded program
By
Kimberly Bonvissuto
Mar 20, 2024
While New York State nursing homes are hoping to make up Medicaid funding shortfalls 16 years in the making, senior living providers are hopeful that a comparable Medicaid increase for the Medicaid-funded...
$1 billion Medicaid shortfall leads to waiting list for HCBS
By
Kimberly Bonvissuto
Apr 12, 2024
An almost $1 billion shortfall in Indiana’s Medicaid program is fueling the implementation of a waitlist for the state’s home- and community-based services waiver program.
MFCU efforts result in 20 convictions, $9.41 million in recoveries related to assisted living in FY 2023:...
By
Lois A. Bowers
Mar 18, 2024
Efforts by state Medicaid Fraud Control Units resulted in a total of 20 criminal convictions and $9.41 million in criminal case recoveries related to assisted living in fiscal year 2023, according to a...