Final Medicaid Access Rule released, White House says
By
Lois A. Bowers
Apr 22, 2024
A federal rule requiring providers to allocate at least 80% of home- and community-based payments to direct care worker pay has been finalized, President Biden said in a fact sheet posted Monday on the...
Medicaid Access Rule review completed by White House
By
Lois A. Bowers
Apr 16, 2024
A proposed federal rule establishing mandatory quality measures for home- and community-based services and requiring providers to allocate 80% of HCBS payments to direct care worker pay is one step closer...
Medicaid eligibility standards updated for 2024
By
Lois A. Bowers
Jan 24, 2024
The Centers for Medicare & Medicaid Services on Wednesday released an informational bulletin with updated federal poverty level standards applied to eligibility criteria for Medicaid.
Medicaid and transparency in the ‘Wild West’
By
Lois A. Bowers
Apr 10, 2023
As more older adults start to age into senior living, more scrutiny will be on providers, and we’ll see more articles like the one in the Washington Post on Thursday.
Making assisted living communities Medicaid-eligible providers would benefit residents, companies, government,...
By
Lois A. Bowers
Apr 03, 2023
A Pennsylvania legislator has proposed a bill that would allow assisted living communities to become Medicaid-eligible providers, and the results of a new member survey from the Pennsylvania Health Care...
Updated: CMS releases anticipated state timelines for initiating unwinding-related Medicaid renewals
By
Lois A. Bowers
Mar 02, 2023
The Centers for Medicare & Medicaid Services today posted the anticipated state timelines for initiating unwinding-related Medicaid renewals.
Medicaid federal poverty standards updated
By
Lois A. Bowers
Jan 19, 2023
The Centers for Medicare & Medicaid Services on Thursday released updated federal poverty level standards applied to eligibility criteria for Medicaid.
Mother-daughter duo arrested for reportedly defrauding Medicaid of $106,000 for services not provided...
By
Lois A. Bowers
Sep 26, 2022
A mother-daughter duo has been arrested in Florida for allegedly defrauding the Medicaid program of more than $106,000 by billing for psycho-social rehabilitation services they did not provide to six assisted...
CMS updates Medicaid eligibility standards
By
Lois A. Bowers
Jun 02, 2022
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...