Search for: "THE OFFICE OF MEDICAID POLICY AND PLANNING"
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3 Feb 2015, 1:47 am
Extend Medicare Secondary Payer reporting requirements to group health plans offering prescription drug coverage ($480 million). [read post]
30 Jan 2015, 1:30 pm
The bill also directs the House Committees on Education and the Workforce, Energy and Commerce, Judiciary, and Ways and Means to develop alternative legislation that meets various policy goals, including, among others: lowering health care premiums through increased competition and choice; preserving a patient's ability to keep his or her health plan if he or she likes it; providing people with pre-existing conditions access to affordable health coverage; reforming the… [read post]
14 Jan 2015, 4:00 am
Dennis Rosen, Esq., to serve as Medicaid Inspector General. [read post]
12 Jan 2015, 10:09 am
David served as Special Deputy Attorney General for Civil Rights for the Office of the New York State Attorney General, where he managed strategic planning, case development and policy analysis and supervised Assistant Attorneys General on investigations and litigation ranging from employment discrimination to immigration fraud. [read post]
12 Jan 2015, 8:00 am
Towl alleges she was fired after discharging ineligible patients and Fowler alleges she was placed on a “corrective action plan” after questioning company policy. [read post]
17 Dec 2014, 8:30 am
The Office of the National Coordinator for Health Information Technology is seeking comments on its strategic plan. [read post]
15 Dec 2014, 7:56 am
Practice expenses may include office rent, wages, and equipment. [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]
20 Nov 2014, 4:45 pm
Beneficiary – A person who is entitled to receive the benefits or proceeds from a will, trust, insurance policy, annuity, retirement plan or contract. [read post]
19 Nov 2014, 12:50 pm
The RAC program’s scope of review excludes: 1) claims processed or paid within 30 days of implementation of any Medicaid managed care program that relates to the claims; 2) claims processed and paid through a capitated Medicaid managed care program (but does not exclude audits of per member per month payments from DHH to any capitated Medicaid managed care plan utilizing such claims); and 3) medical necessity reviews in with the provider obtained prior… [read post]
15 Nov 2014, 8:22 am
A High Incident Rate The Office of Inspector General (OIG) of the U.S. [read post]
13 Nov 2014, 9:26 am
The calculator also helps consumers determine whether they could be eligible for Medicaid. [read post]
2 Nov 2014, 12:33 pm
In its October 31, 2014 announcement of its enforcement delay of the HPID/HPOES requirements, the HHS Centers for Medicaid Services (CMS) Office of E-Health Standards and Services (OESS) stated this enforcement delay applies to all HIPAA covered entities, including healthcare providers, health plans, and healthcare clearinghouses. [read post]
17 Sep 2014, 10:30 am
§ 1396a(a)(30)(A) against a state where Congress chose not to create enforceable rights under that statute; and (2) whether, if Medicaid providers have a private right of action, a state’s Medicaid provider reimbursement rates are preempted by 42 U.S.C. [read post]
19 Aug 2014, 7:18 am
§ 488.433(e), specifically requires that a state obtain formal CMS approval of all plans for the effective use of CMPs. [read post]
11 Aug 2014, 11:43 pm
Subtitle E then establishes tax credits and other subsidies for the lower-income individuals and small businesses that purchase plans on the exchanges. [read post]
28 Jul 2014, 1:24 pm
A: This decision applies only to policies sold on the online marketplaces. [read post]
18 Jul 2014, 11:11 am
" For additional NAELA resources addressing long-term care and Medicaid, see: NAELA position paper "Myths and Realities about Medicaid Planning" For additional S2KM reporting about Medicaid and the ACA, see the structured settlement wiki. [read post]
13 Jul 2014, 6:00 pm
There are very few strategies that we as elder law attorneys and state Medicaid offices agree on. [read post]
23 Jun 2014, 9:52 am
The Contract, as well as all applicable Medicaid laws, regulations and policies, serve to define the legal relationship between the State of Michigan, UnitedHealthcare, Medicaid providers, and Medicaid enrollees. [read post]
