Medicaid Access Rule review completed by White House
By
Lois A. Bowers
Apr 16, 2024
A proposed federal rule establishing mandatory quality measures for home- and community-based services and requiring providers to allocate 80% of HCBS payments to direct care worker pay is one step closer...
Florida assisted living communities challenged by staffing, Medicaid, study confirms
By
Lois A. Bowers
Apr 16, 2019
Staffing and Medicaid reimbursement were two pressing issues for operators that emerged from a recent survey commissioned by the Florida Assisted Living Association, the organization’s CEO, Shaddrick...
Assisted living and nursing facilities sue government over Medicaid reimbursement cuts
By
Lois A. Bowers
Jun 12, 2018
The Montana Health Care Association and several assisted living communities and skilled nursing facilities that are members sued the state of Montana on Monday afternoon, alleging that the state violated...
GAO’s assisted living report part of testimony at House hearing on Medicaid
By
Lois A. Bowers
Apr 13, 2018
Assisted living made an appearance Thursday at a House of Representatives committee hearing on the Medicaid program when a Government Accountability Office report related to the industry was referenced...
Study suggests higher Medicaid payments for assisted living operators
By
Lois A. Bowers
Aug 07, 2017
States should make certain that Medicaid payments to assisted living community operators are high enough to encourage them to serve Medicaid beneficiaries and to increase beneficiaries’ access to...
A $60 million lawsuit alleging understaffing and fraudulent billing at 45 senior living communities in North Carolina “is an erroneous interpretation of Medicaid reimbursement in the state,”...
Court: Service plan required for assisted living benefits under Medicaid
By
Lois A. Bowers
Oct 03, 2016
The state of Ohio will not be required to pay retroactively for benefits that Medicaid-eligible assisted living residents received before their written service plans were approved by the state, the U.S....
Medicaid fraud unit action results in 15 assisted living convictions
By
Lois A. Bowers
Sep 21, 2016
Assisted living facilities were involved in 14 criminal convictions for abuse or neglect and one for fraud based on the actions of State Medicaid Fraud Control Units in fiscal year 2015, according to the...
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...
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...