Tagged with Behavioral Health Billing
Illinois Legislature Overrides Veto of Short-Term Health Plan Limit
State legislators in Illinois have voted to override the Governor’s veto of a bill intended to place restrictions on short-term health insurance plans sold in in the state, which are exempt from offering certain protections required under the Affordable Care Act (ACA).
CMS Finalizes 2019 Medicare Clinical Lab Payment Determinations
CMS has released its final 2019 Medicare clinical laboratory fee schedule (CLFS) payment determinations for new and reconsidered clinical lab test codes. Specifically, CMS finalized the basis for establishing the payment rate (crosswalking or gapfilling), along with the agency’s rationale for the decision.
CMS Announces Short-Term IMD Exclusion Waivers for Mental Illness
CMS announced on November 13, a new opportunity for states to seek short-term IMD exclusion waivers, which would allow Medicaid to pay for inpatient mental health services for adults with serious mental illness and children with serious emotional disturbance.
NJ – CMS Approves New Jersey Medicaid 1115 Waiver Extension
CMS has granted an extension of New Jersey’s Section 1115 demonstration entitled “NJ FamilyCare Comprehensive Demonstration.” This approval is effective for five years from August 1, 2017, through June 30, 2022. The approval will enable the state to continue with its Comprehensive Waiver Demonstration for individuals who need long term services and supports (LTSS) and will transform the behavioral health system for adults.
Temporary Change to Medicare Rules Offer Reprieve from Late-Enrollment Penalties
Medicare has temporarily changed its rules to offer a reprieve from penalizing consumers who may have missed deadline to enroll in Medicare and kept ACA policies after becoming eligible for Medicare.
