Tagged with Medicaid Billing
The Agency for Health Care Administration is seeking the renewal of two Florida Medicaid Waivers. The proposed extensions hope to renew the Adult Cystic Fibrosis Waiver and the Traumatic Brain and Spinal Cord Injury Waiver for the period July 1, 2017 through June 30, 2022.
The Rutgers University, Center for State Health Policy has released a ‘Year 1’ report of the New Jersey’s Medicaid ACO demonstration, with an assessment of ACO operations and care management strategies.
CMS has granted a broad-based waiver to Vermont which gives the state the authority to initiate an all-payer ACO pilot aimed at serving 30,000 of the state’s 190,000 Medicaid beneficiaries in 2017.
The long-anticipated legislation to repeal and replace the ACA’s core features was unveiled on March 6.
In a letter to CMS and the Office of the National Coordinator for Health Information Technology, MGMA, along with 100 medical organizations, requested a deferment for the required use of 2015 Edition CEHRT in the QPP or Medicaid MU Program. The letter recommends that use of 2015 CEHRT remain voluntary until such technology is widely available, no sooner than January 2019.
An ACA provision mandating providers to revalidate or recertify their Medicaid reimbursement eligibility has resulted in an estimated 65,000 providers dropped from the program.
Vermont has entered into a one year agreement with OneCare to launch an ACO pilot program serving 30,000 Medicaid beneficiaries.
Connecticut Gov. Dannel Malloy, on February 8, proposed a plan aimed at closing the nearly $1.7 billion state budget deficit.
According to a new CDC report, the nation’s uninsured rate plunged last year, marking the lowest rate on record to date.
CMS issued an insurance standards bulletin granting another extension to non-ACA-compliant health plans to allow insurers and consumers to extend for an additional year.
CMS recently announced its new proposed rule aimed at stabilizing ACA markets and encourage more insurers to stay on the exchanges through promoting more coverage options, and improving the risk pool for insurers.
The Indiana Governor’s office on January 31st issued a press release announcing the formal submission of the state’s application to continue the state’s Medicaid expansion program, Healthy Indiana Plan (HIP 2.0).
According to the recently released annual report from CMS, in fiscal year 2016 states and federal government grew 4.3% to $575.9 billion and federal Medicaid spending grew 4.5% to $363.4 billion for the program to cover low income and disabled people. The report states Medicaid spending has increased in recent years and is expected to continue to rise, potentially reaching levels that could “displace spending on other important programs.”
CMS’ newest Medicaid managed care final rule will prevent increases in pass-through payments as well as the addition of new pass-through payments beyond those in place when the pass-through payment transition periods were established.
Following a 51 to 48 vote in the Senate, House members on January 13 voted 227 to 198 to advance repeal of the Affordable Care Act in a budget resolution bill.
CMS has announced a new global capitation model for rural hospitals in Pennsylvania. Under the new model participating critical access hospitals and acute care hospitals will receive all-payer global budgets for a fixed amount of money that is set in advance and funded by all participating insurers, to cover inpatient and outpatient services.
Effective January 1, Health Alliance Connect, the sole Medicaid managed care plan covering applied behavioral analysis (ABA) services for children with autism in central Illinois, has withdrawn from the state’s Medicaid program increasing barriers to access to ABA.
The New Jersey Department of Human Services’ (DHS) Division of Medical Assistance and Health Services (DMAHS) has posted a public notice of its intent to seek approval from CMS for amendments to the State Plan to reflect updates to state Medicaid fee-for-service rates, effective January 1.
A report released by the HHS Office of Inspector General (OIG) states, over a four-year span, New Jersey has received an estimated $95 million in improper Medicaid payments. According to the report, “The deficiencies occurred because the state … did not adequately monitor [its] partial care services program to ensure that providers complied with [the program’s] requirements.”
OH – Assessment Indicates Medicaid Expansion Improved Health Status, Financial Stability of Enrollees
A new report published by the Ohio Medicaid Department has found that Medicaid expansion in the state improved access to care, decreased emergency department use, helped detect members at risk for chronic health conditions, and improved the health and financial status of expansion beneficiaries.