Mother-daughter duo arrested for reportedly defrauding Medicaid of $106,000 for services not provided...
By
Lois A. Bowers
Sep 26, 2022
A mother-daughter duo has been arrested in Florida for allegedly defrauding the Medicaid program of more than $106,000 by billing for psycho-social rehabilitation services they did not provide to six assisted...
CMS updates Medicaid eligibility standards
By
Lois A. Bowers
Jun 02, 2022
The Centers for Medicare & Medicaid Services on Thursday afternoon announced updated standards for Medicaid financial eligibility for married individuals seeking coverage of certain long-term services...
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...
Medicaid pays $6.6 billion for HCBS for older adults through Section 1915c waivers
By
Lois A. Bowers
Jan 22, 2021
Expenditures for home- and community-based services for Medicaid-eligible older adults and disabled individuals through Section 1915(c) waivers, used by some assisted living providers and others, topped...
MACPAC: ‘Disturbing’ that most of $15 billion in coronavirus relief for Medicaid providers not released...
By
Lois A. Bowers
Sep 28, 2020
Only $2.2 billion of the $15 billion in coronavirus relief funding announced in June for eligible Medicaid providers, including assisted living operators, had been paid to eligible providers as of Sept....
HHS changes rules for distribution of relief funds to Medicaid providers
By
Lois A. Bowers
Aug 13, 2020
The Department of Health and Human Services has reversed its position and now says that Medicaid providers who previously received a payment from a general distribution of funds from the Coronavirus Aid,...
Medicaid fraud discovered because of murder pushes nationwide assisted living monetary recoveries to...
By
Lois A. Bowers
Apr 01, 2020
Efforts by state Medicaid Fraud Control Units resulted in a total of 23 criminal convictions and more than $2.2 million in criminal monetary recoveries related to assisted living in fiscal year 2019, according...
27 members of Congress urge CMS to withdraw proposed Medicaid Fiscal Accountability Regulation
By
Lois A. Bowers
Feb 14, 2020
A bipartisan coalition of 27 members of the House of Representatives is asking the Centers for Medicare and Medicaid Services to withdraw its proposed Medicaid Fiscal Accountability Regulation.
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...
CMS should withdraw Medicaid Fiscal Accountability Regulation, AHCA/NCAL says
By
Lois A. Bowers
Jan 31, 2020
The Centers for Medicare & Medicaid Services should withdraw the proposed Medicaid Fiscal Accountability Regulation because, if finalized, it would jeopardize access to care and “cripple” Medicaid...