CMS to conduct ‘focused review’ of Missouri, Texas delays in processing Medicaid applications
By
Kathleen Steele Gaivin
Jun 20, 2024
The Centers for Medicare & Medicaid Services is launching a focused review of how the states of Missouri and Texas process Medicaid applications.
Ongoing lawsuits indicate there’s little advantage to seniors for letting AI determine their MA coverage
By
Aaron Dorman
Apr 04, 2024
A new report calls out the role of AI in validating cost-cutting measures that leave seniors in need without coverage.
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...
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...
Supreme Court spars over case that could limit power of federal agencies
By
Kimberly Marselas
Jan 18, 2024
Some Supreme Court justices on Wednesday signaled their willingness to give courts more discretion in interpreting “ambiguous” federal statutes rather than leaving that work to the agencies tasked...