Search for: "THE OFFICE OF MEDICAID POLICY AND PLANNING"
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1 Dec 2021, 7:45 am
Inappropriate Medicaid Payments State Comptroller Thomas P. [read post]
1 Dec 2021, 7:45 am
Inappropriate Medicaid Payments State Comptroller Thomas P. [read post]
2 Feb 2023, 1:45 pm
On February 1, 2023, the Centers for Medicare & Medicaid Services (CMS) published a final rule outlining its audit methodology and related policies for its Medicare Advantage (MA) Risk Adjustment Data Validation (RADV) program. [read post]
21 Aug 2016, 6:30 pm
Also don’t make the minor children beneficiary of big life insurance policies, because they automatically receive when they turn 18. [read post]
30 Aug 2021, 4:00 am
The board also did not adopt adequate information technology (IT) policies or a disaster recovery plan. [read post]
30 Aug 2021, 4:00 am
The board also did not adopt adequate information technology (IT) policies or a disaster recovery plan. [read post]
30 Sep 2021, 4:50 pm
Yesterday’s release by the Departments of Labor, Health and Human Services, Treasury and the Office of Personnel Management (“Agencies”) release yesterday (September 30, 2021) an a third interim final rule (“3rd Rule”) implementing requirements applicable to health plans and health care providers enacted under the No Surprises Act (the “Act) warns health plans, their employer and other sponsors, insurers, fiduciaries and service… [read post]
4 Dec 2014, 6:18 am
On the other hand, David observes, there are policy solutions at hand if we are willing to discuss them. [read post]
19 Apr 2016, 11:31 am
If you are looking for a complete estate plan or asset protection plan where trust funding is included, contact the Florida Estate Planning and Asset Protection team at Law Office of David M. [read post]
27 Jun 2013, 3:44 am
MedPAC continues to discuss the concept of competitively determined plan contributions (CPC), under which Medicare beneficiaries could receive care through either a private plan or traditional fee-for-service, but the premium paid by the beneficiary could vary depending on the coverage option chosen. [read post]
19 Feb 2018, 6:31 am
” If HHS does not take enforcement action against the state, the policy is likely to face a legal challenge and that will be closely watched by health policy experts, consumer advocates, and other states. [read post]
17 Nov 2023, 9:11 am
CMS also seeks to provide clarification on MA plan enrollee eligibility determinations in proposing that an MA organization be required to follow its written policies based on objective criteria for determining an enrollee’s eligibility for an SSBCI. [read post]
2 Feb 2018, 8:57 am
Department of Health and Human Services (HHS) Office for Civil Rights (OCR) to settle potential liability for potentially much higher Civil Monetary Penalties (CMPs) to OCR for Health Insurance Portability and Accountability Act (HIPAA) Privacy and Security Rules violation charges under a voluntary resolution agreement illustrates the need for group health plans and their employer and other sponsors, fiduciaries, and vendors to make HIPAA compliance a key priority… [read post]
7 Mar 2015, 4:42 am
DiNapoli releases report on 30-day state budget amendments Source: Office of the State Comptroller Amendments to the proposed state budget appropriately lower tax collection estimates in the Financial Plan for state fiscal year 2014-15 but increase the Executive’s discretion over spending, including $4.55 billion from financial settlements, and attach major policy issues to time-limited appropriations, according to an analysis released today by New York State… [read post]
19 Oct 2016, 1:04 pm
She supports her clients both on a real time, “on demand” basis and with longer term basis to deal with daily performance management and operations, emerging crises, strategic planning, process improvement and change management, investigations, defending litigation, audits, investigations or other enforcement challenges, government affairs and public policy. [read post]
5 Aug 2010, 9:08 am
Get rid of signature stamps in your office or clinic! [read post]
7 Nov 2023, 10:46 am
As promised back in April in an announcement of its plans to modernize compliance program guidance, the Department of Health and Human Services Office of Inspector General (OIG) issued the first of its new guidance documents for the health care industry on November 6, 2023. [read post]
23 Oct 2010, 10:46 am
For more issues regarding Medicaid visit our blog at Senior Life Care Planning Blog or visit or website at Senior Life Care Planning Also, we have written a FREE Handbook - Questions to ask the Nursing Home if you would desire a copy please Email or call our office 301 663 9230. [read post]
15 Feb 2018, 4:41 pm
Health plans and insurers, their service providers that act as business associates within the meaning of the Health Insurance Portability & Accountability Act (HIPAA) and employer and other health plan sponsors, fiduciaries, and other management leaders should heed the warnings contained in the new Resolution Agreement (FileFax Resolution Agreement) with former HIPAA business associate FileFax, Inc. announced by the Department of Health & Human Services (HHS)… [read post]
11 Jul 2012, 2:00 pm
This report prompted an investigation by the HHS Office for Civil Rights (OCR), the agency responsible for HIPAA enforcement. [read post]
