The Centers for Medicare & Medicaid Services on Thursday afternoon announced updated standards for Medicaid financial eligibility for married individuals seeking coverage of certain long-term services...
Criminal recoveries for Medicaid fraud in assisted living top $1 million again due to case discovered...
By
Lois A. Bowers
Apr 08, 2021
Fallout from a Medicaid fraud case discovered because of a murder at an assisted living community had an outsized effect on fraud-related criminal monetary recoveries by state Medicaid Fraud Control Units...
Medicaid pays $6.6 billion for HCBS for older adults through Section 1915c waivers
By
Lois A. Bowers
Jan 22, 2021
Expenditures for home- and community-based services for Medicaid-eligible older adults and disabled individuals through Section 1915(c) waivers, used by some assisted living providers and others, topped...
MACPAC: ‘Disturbing’ that most of $15 billion in coronavirus relief for Medicaid providers not released...
By
Lois A. Bowers
Sep 28, 2020
Only $2.2 billion of the $15 billion in coronavirus relief funding announced in June for eligible Medicaid providers, including assisted living operators, had been paid to eligible providers as of Sept....
Medicaid fraud discovered because of murder pushes nationwide assisted living monetary recoveries to...
By
Lois A. Bowers
Apr 01, 2020
Efforts by state Medicaid Fraud Control Units resulted in a total of 23 criminal convictions and more than $2.2 million in criminal monetary recoveries related to assisted living in fiscal year 2019, according...
Proposed False Claims Act could affect providers outside of Medicaid system, group says
By
Lois A. Bowers
Jan 15, 2020
A proposal to enact a state False Claims Act in Pennsylvania “has the potential to impact the entire long-term care continuum” even though assisted living and personal care communities do not currently...
Medicaid block grant proposal ‘must be carefully evaluated,’ provider group says
By
Lois A. Bowers
Sep 19, 2019
A plan that would make Tennessee the first state to receive its Medicaid funding via a block grant “must be carefully evaluated,” the executive director of the Tennessee Health Care Association...
Florida assisted living communities challenged by staffing, Medicaid, study confirms
By
Lois A. Bowers
Apr 16, 2019
Staffing and Medicaid reimbursement were two pressing issues for operators that emerged from a recent survey commissioned by the Florida Assisted Living Association, the organization’s CEO, Shaddrick...
Legislation aims to protect Medicaid payments for assisted living services
By
Lois A. Bowers
Nov 19, 2018
Bipartisan legislation introduced Friday aims to protect Medicaid payments for home- and community-based services, including those provided in assisted living communities, that otherwise would end Dec....
Some Medicaid payments for assisted living services could be jeopardized if ACA provision expires
By
Lois A. Bowers
Nov 16, 2018
Medicaid payments for assisted living services could be in jeopardy in some states if Congress does not renew a provision in the Affordable Care Act that is set to expire on Dec. 31, according to a new...