Search for: "THE OFFICE OF MEDICAID POLICY AND PLANNING"
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28 Jun 2023, 6:53 am
Private Entities Handling Texas Medicaid Audits: Separate and apart from these State agencies and offices, it is important to keep in mind that each of the Medicaid medical and dental managed care plans active in Texas are required by law to “develop a plan to prevent and reduce waste, abuse and fraud” that must be reported to HHSC-OIG each year for approval.[8] Each Medicaid Managed Care Organization is responsible for investigating… [read post]
21 Jun 2023, 11:07 am
Although a multiyear financial plan would provide more transparency regarding the district’s long-term financial goals and help guide the board and officials as they develop district budgets, they did not develop a multiyear financial plan for the district. [read post]
21 Jun 2023, 11:07 am
Although a multiyear financial plan would provide more transparency regarding the district’s long-term financial goals and help guide the board and officials as they develop district budgets, they did not develop a multiyear financial plan for the district. [read post]
15 Jun 2023, 9:26 pm
” CFPB plans to solicit comments on its formal proposal in a few months and finalize its rule in 2024. [read post]
9 Jun 2023, 7:30 am
After all, federalizing Medicaid is a pretty big structural change, as are federal encouragement of land use policy changes to permit greater mobility, and I advocate for those. [read post]
9 Jun 2023, 4:00 am
But a federal judge ordered the recorded recollections to be given to the office of the special counsel Jack Smith, who is leading the documents probe. [read post]
7 Jun 2023, 8:46 am
To that end, CMS said it plans to support COVID-19 vaccinations through quality standards and other regulatory mechanisms, which are currently being developed. [read post]
29 May 2023, 10:00 am
Medicare Advantage Plans are Aggressively Denying Claims – Administrative Appeals are Growing (May 25, 2023): According to the latest data released by the Centers for Medicare and Medicaid Services (CMS), beneficiaries participating in Medicare Advantage[1] plans now surpass those enrolled in original Medicare plans. [read post]
10 May 2023, 6:06 am
And so, when Ortega, the former revolutionary turned president, runs for office again in 2006, he wins. [read post]
9 May 2023, 9:05 pm
Rahul Gupta, director of the White House Office of National Drug Control Policy, commenting on FDA’s over-the-counter approval.The post Cracking Down on Overdose Deaths first appeared on The Regulatory Review. [read post]
1 May 2023, 5:19 pm
On April 24, 2023, the Department of Health and Human Services’ Office of Inspector General (“OIG”) issued a modification to advisory opinion 20-04, from July 2020, where the OIG opined favorably on the proposal to purchase or receive donations of unpaid medical debt owed by qualifying patients from certain types of health care providers, including hospitals, and then forgive that debt. [read post]
1 May 2023, 12:27 pm
For example, EBSA assisted HHS’ Centers for Medicare and Medicaid Services in investigating an improper appeals process following the denial of coverage for autism treatment by a plan for a large school district. [read post]
28 Apr 2023, 4:00 am
Borden sent 32 emails to city staff, planning commissioners, and one city supervisor seeking support for a permit at the restaurant. [read post]
13 Apr 2023, 8:33 am
(2) OIG also states that remuneration to a Dual Eligible Special Needs Plan (D-SNP) enrollee for serving on the plan’s enrollee advisory committee would probably not implicate the Beneficiary Inducements CMP, although it could implicate the AKS. [read post]
5 Apr 2023, 11:37 am
The Centers for Medicare and Medicaid Services (CMS) may be weeks away from announcing staffing mandates for the nursing home industry as part of its multi-point reform plan announced in February 2022. [read post]
4 Apr 2023, 9:35 am
With offices in St. [read post]
17 Mar 2023, 2:51 pm
To date, there have been no established Medicare coverage policies for remote monitoring services. [read post]
15 Mar 2023, 8:50 am
The budget proposal focuses on several key areas, including: ensuring Medicare solvency, closing the Medicaid coverage gap, making permanent ACA enhanced subsidies, building upon drug price negotiation reforms, and boosting funding for Medicaid home and mental healthcare services. [read post]
7 Mar 2023, 7:56 am
”[2] CMS stated the agency “may, in revised guidance, make changes to any policies in this memorandum, including policies on which CMS has not expressly solicited comment, based on the agency’s further consideration of the relevant issue. [read post]
3 Mar 2023, 10:17 am
The fraudulent claims directed the plans to send payment for the billed services to a Regus virtual office location in Louisville, Kentucky. [read post]
