Medicaid

Judge rules for Montana providers, but health department doesn't take action

Judge rules for Montana providers, but health department doesn't take action

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Montana health officials on Friday remained unsure what course of action they would take, two days after a judge ordered them to reinstate last year's Medicaid reimbursement rates for assisted living and skilled nursing operators while a lawsuit proceeds.

Assisted living and nursing facilities sue government over Medicaid reimbursement cuts

Assisted living and nursing facilities sue government over Medicaid reimbursement cuts

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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 the law when it cut Medicaid reimbursement rates for the providers.

Assisted living, post-acute providers have 'room for progress' in four key areas, HHS secretary says

Assisted living, post-acute providers have 'room for progress' in four key areas, HHS secretary says

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Assisted living and post-acute care providers "will play a key role in the healthcare system over the next several decades," HHS Secretary Alex M. Azar II said Tuesday. Both industries, however, have "a great deal of room for progress" in four areas, he said.

More news for Wednesday, June 6

HCP provides update on transactions that reduce Brookdale exposure in portfolio ... Report: Most Florida assisted living communities still don't have generators ... Verma unveils state Medicaid scorecard but refuses to judge efforts

Operators head to Hill to brief Congress

Operators head to Hill to brief Congress

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Quality, regulation and Medicaid will be three of the big themes as assisted living operators gather Monday and Tuesday in the nation's capital to meet with legislators and their staffs as part of this year's American Health Care Association / National Center for Assisted Living Congressional Briefing.

LTSS providers to receive 3% rate increase in Maryland

LTSS providers to receive 3% rate increase in Maryland

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Providers of home- and community-based services and nursing home care to Medicaid beneficiaries in Maryland will receive a 3% rate increase for fiscal year 2019, Gov. Larry Hogan announced Tuesday.

Despite headlines, GAO report does not portend major changes for assisted living, industry leaders say

Despite headlines, GAO report does not portend major changes for assisted living, industry leaders say

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Some assisted living community operators understandably were concerned in February after the Government Accountability Office released a report about federal oversight of assisted living services offered to Medicaid beneficiaries. Those who look beyond the comments of lawmakers and senior advocates, however, will see that the industry is not the target of the report.

Bill expanding Medicaid fraud investigations wins support but appears stalled

Bill expanding Medicaid fraud investigations wins support but appears stalled

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A bipartisan bill that would expand the reach of Medicaid Fraud Control Units to any setting where beneficiaries receive services has gained the backing of the National Association of Attorneys General but appears stuck in the House of Representatives.

Providers tell CMS to explore telehealth, care coordination, long-term care financing

Providers tell CMS to explore telehealth, care coordination, long-term care financing

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Chronic care management via telehealth and remote monitoring, service coordination in affordable housing, and long-term care financing are some of the new directions that the Centers for Medicare & Medicaid Services should explore through its Center for Medicare and Medicaid Innovation, according to feedback from providers and associations.

CMS revises guidance on penalty period start date for HCBS waiver participants

CMS revises guidance on penalty period start date for HCBS waiver participants

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CMS has issued revised guidance related to the penalty start date for asset transfers of Medicaid beneficiaries applying to receive home- and community-based services delivered through 1915(c) waivers, which includes some HCBS offered in assisted living communities.

GAO's assisted living report part of testimony at House hearing on Medicaid

GAO's assisted living report part of testimony at House hearing on Medicaid

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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 in the written testimony of a witness.

Proposed cuts to Medicare, Social Security could follow CBO report, senators say

Proposed cuts to Medicare, Social Security could follow CBO report, senators say

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At least two federal lawmakers are concerned that the 10-year projections on the budget and economy released Monday by the Congressional Budget Office will lead to GOP attempts to make cuts to programs such as Medicare and Social Security.

Ruling could result in faster Medicaid payments to supportive living providers

Ruling could result in faster Medicaid payments to supportive living providers

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A federal ruling last week may result in faster final eligibility determinations for those who apply for long-term care Medicaid benefits in Illinois — and therefore more timely payments to supportive living facilities, nursing homes and others.

Federal fraud, abuse monetary recoveries in assisted living up more than 600% over last year

Federal fraud, abuse monetary recoveries in assisted living up more than 600% over last year

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Total monetary recoveries by state Medicaid Fraud Control Units in assisted living-related fraud, abuse and neglect criminal and civil cases increased by more than 600% from fiscal year 2016 to FY 2017, according to a new report from the Department of Health and Human Services Office of Inspector General.

Policy briefs

Medicaid payments and options for healthcare services.

'Big and bold changes' coming? Well, this could get interesting

'Big and bold changes' coming? Well, this could get interesting

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The new boss at Health and Human Services is on a mission.

Argentum works on Plan B as weather thwarts fly-in

Argentum works on Plan B as weather thwarts fly-in

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Argentum is planning to find additional ways to discuss the Government Accountability Office's assisted living-related report, home- and community-based services and other issues after the second day of its Public Policy Institute & Fly-In was canceled due to inclement weather.

Why skilled care's pain could be senior living's gain

Why skilled care's pain could be senior living's gain

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If you can deliver post-acute care at a lower cost than the skilled care joint down the street, you just might find yourself swimming in a very nice new revenue stream.

President's budget proposes Medicaid changes, affordable housing funding cuts

President's budget proposes Medicaid changes, affordable housing funding cuts

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Repeal of the Affordable Care Act, reform of the Medicaid program to fund it through per capita caps or block grants, and cuts to affordable housing programs all are proposed as part of President Trump's fiscal year 2019 budget request, released Monday.

Feds promise to enhance industry oversight in wake of GAO report

Feds promise to enhance industry oversight in wake of GAO report

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Responding to a report that cites lax state oversight, federal officials said they will begin to monitor potentially dangerous incidents at senior living communities more closely.

Medicaid, the Trojan horse of senior living

Medicaid, the Trojan horse of senior living

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Like the citizens of Troy who failed to realize a hollow wooden horse contained something terrible, senior living operators have ignored the real threat Medicaid might unleash: federal rules and regulations.

More news for Thursday, Feb. 8

CMS answers FAQs related to HCBS Medicaid beneficiaries with dementia ... AHCA/NCAL and ACHCA partner for administrator credentialing, including assisted living ... Senate funding bill contains $2 billion for NIH, including Alzheimer's research ... VA considers restricting eligibility for caregivers program

CDC data show how small, large assisted living communities differ

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A data brief published Tuesday by the Centers for Disease Control and Prevention's National Center for Health Statistics sheds light on the differences between smaller and larger assisted living communities regarding the types of ADL assistance residents need, health conditions they have, payment source and more.

More news for Wednesday, Feb. 7

HHS considers lifetime limits on Medicaid ... Kindred Healthcare urges shareholders to approve its sale, notes more challenges ahead ... New rules aiming to prevent financial abuse of seniors take effect

New GAO report focuses on CMS but could have direct effects on assisted living

New GAO report focuses on CMS but could have direct effects on assisted living

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A report released Monday by the Government Accountability Office contains a to-do list for the Centers for Medicare & Medicaid Services related to state reporting of deficiencies in care and services provided to Medicaid beneficiaries in assisted living communities. Some federal lawmakers and consumer advocates, however, say they will push for changes in assisted living because of the report's findings.

Report is 'new territory,' GAO director says

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A new report about federal oversight of Medicaid beneficiaries who live in assisted living communities is "new territory" for the Government Accountability Office, the report's author told McKnight's Senior Living.

CMS should ensure no conflicts of interest in HCBS assessments, GAO says

CMS should ensure no conflicts of interest in HCBS assessments, GAO says

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A new report from the Government Accountability Office recommends that Centers for Medicare & Medicaid Services Administrator Seema Verma ensure that no conflicts of interest exist among entities that conduct the needs assessments that are used to determine eligibility for Medicaid home- and community-based services and to develop HCBS plans of service.

Senior living might want to reconsider its superiority complex

Senior living might want to reconsider its superiority complex

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More operators are doing things that would have been heavily frowned upon in the past.

Relief, concern greet tax bill passage

Relief, concern greet tax bill passage

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Senior living provider groups Wednesday expressed a mixture of relief and concern at Congress' passage of H.R. 1, the Tax Cuts and Jobs Act.

GOP lawmakers say they will seek Medicare, Medicaid changes next year

GOP lawmakers say they will seek Medicare, Medicaid changes next year

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While Republicans in the Senate and House of Representatives work to reconcile their two versions of a tax reform bill that analysts say could add more than $1 trillion to the federal deficit over 10 years, GOP lawmakers are signaling plans for 2018 to reduce spending on Medicare and Medicaid.

In Focus

July 11

Patriotic parade

Naples, FL 

More than 100 residents and employees of Vi at Bentley Village participated in a golf cart parade to celebrate the Fourth of July.

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