Tagged with Medicaid Billing

New CBO Estimate shows ACA Mandate Repeal Cuts CHIP Funding Costs

The Congressional Budget Office (CBO) and the Joint Committee on Taxation (JCT) recently announced that the repeal of the Affordable Care Act’s (ACA) individual mandate will significantly cut the cost to fund the Children’s Health Insurance Program (CHIP) for five more years.

Ohio Medicaid Expands Acupuncture to Combat Opioid Epidemic

In an effort to curb reliance on opioid painkillers, an alternative pain management method was expanded under Ohio’s Medicaid program. Effective January 1st, the expansion will allow Medicaid patients to receive acupuncture treatment by licensed non-physician acupuncturists.

Indiana Medicaid Medical Policy Updates

Anthem BCBS of Indiana has issued notice of medical policy revisions approved by the Medical Policy and Technology Assessment Committee (MPTAC).

Medicare Advantage Policy and Technical Changes for Contract Year 2019

CMS has submitted a proposed rule that, if finalized, would revise the Medicare Advantage program (Part C) regulations and Prescription Drug Benefit program (Part D) regulations to implement certain provisions of the Comprehensive Addiction and Recovery Act (CARA) and the 21st Century Cures Act.

Pennsylvania Senate Votes to Reauthorize CHIP

The Pennsylvania Senate passes bill to reauthorize the Children’s Health Insurance Program through 2019. The bill now moves onto the Governor’s office for approval.

NJ – DHS Expands Behavioral Health Benefits Covered Under NJ FamilyCare

The New Jersey Department of Human Services (DHS) last month announced that it has expanded the list of covered health benefits available to align behavioral health coverage for Medicaid Long Term Services and Supports (MLTSS), Fully Integrated Dual Eligible Special Needs Plans (FIDE SNPs), and Division of Developmentally Disabled (DDD) MCO members participating in the New Jersey FamilyCare (NJFC) Medicaid managed care program.