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18 Dec 2023, 10:00 pm
Since our publication on disenrollments caused by the “unwinding” of Medicaid’s continuous enrollment condition , the Centers for Medicare and Medicaid Services (CMS) issued an interim final rule on December 6, 2023 implementing the requirement under the Consolidated Appropriations Act for CMS to withhold federal Medicaid funding from states that do not report monthly unwinding data. [read post]
18 Dec 2023, 10:00 pm
Since our publication on disenrollments caused by the “unwinding” of Medicaid’s continuous enrollment condition , the Centers for Medicare and Medicaid Services (CMS) issued an interim final rule on December 6, 2023 implementing the requirement under the Consolidated Appropriations Act for CMS to withhold federal Medicaid funding from states that do not report monthly unwinding data. [read post]
18 Dec 2023, 10:00 pm
Since our publication on disenrollments caused by the “unwinding” of Medicaid’s continuous enrollment condition , the Centers for Medicare and Medicaid Services (CMS) issued an interim final rule on December 6, 2023 implementing the requirement under the Consolidated Appropriations Act for CMS to withhold federal Medicaid funding from states that do not report monthly unwinding data. [read post]
12 Dec 2011, 12:45 pm
The Center for Medicare & Medicaid Services has just announced new rules that will help accelerate the cumbersome process for obtaining data necessary to conclude injury cases when Medicare or Medicaid has paid bills from medical providers. [read post]
17 Oct 2018, 1:39 pm
The Centers for Medicare & Medicaid Services (CMS) has proposed revising its rules governing the process Medicare beneficiaries, providers, and suppliers use to appeal adverse determinations regarding claims for Medicare Part A and Part B benefits or determinations for Part D prescription drug coverage. [read post]
10 Jul 2017, 4:03 am
The Centers for Medicare & Medicaid Services (CMS) has published a proposed rule to update the Medicare end-stage renal disease (ESRD) prospective payment system (PPS) for calendar year (CY) 2018. [read post]
13 Jan 2017, 7:36 am
Bloomberg News reports that the Centers for Medicare and Medicaid Services said that Mylan NV has “for years overcharged the U.S. [read post]
27 Dec 2018, 10:21 am
On October 12, 2018, the Centers for Medicare & Medicaid Services (CMS) released the 2019 premiums, deductibles, and coinsurance amounts for the Medicare Part A and Part B programs. [read post]
25 Jan 2018, 11:04 am
Three organizations representing 15 Kentucky Medicaid recipients filed a federal lawsuit [complaint, PDF] Thursday against the Trump administration, Department of Health and Human Services [official website], Seema Verma, Administrator of the Centers for Medicare and Medicaid Services, and others over approval of numerous section 1115 waivers in Kentucky to change the way that Medicaid functions in the state. [read post]
31 Oct 2016, 8:27 am
The Centers for Medicare & Medicaid Services (CMS) issued a final rule on September 28, 2016, comprehensively updating and extensively revising the requirements for participation (ROPs) for long-term care (LTC) facilities participating in the Medicare and Medicaid programs (the Final Rule). [read post]
9 Feb 2016, 1:24 pm
In January of 2016, the Centers for Medicare and Medicaid Services (CMS) issued a final rule on covered outpatient drugs. [read post]
7 Jul 2006, 10:04 am
[JURIST] The Centers for Medicare and Medicaid Services [official website], part of the US Department of Health and Human Services, issued a final rule Thursday clarifying proof of citizenship [CMS materials] required to apply for Medicaid benefits. [read post]
10 Jul 2018, 3:07 pm
The Centers for Medicare & Medicaid Services (CMS) is proposing to rescind the authority of states to make Medicaid payments to a third party on behalf of an individual provider, rather than directly to the provider, “for benefits such as health insurance, skills training, and other benefits customary for employees,” under certain circumstances. [read post]
30 Jan 2017, 5:00 am
In the face of growing scrutiny and now judicial pressure, the Centers for Medicare & Medicaid Services (CMS) published a final rule on January 17, 2017 implementing certain administrative and procedural actions in an effort to reduce the significant Medicare appeals backlog. [read post]
15 Jul 2019, 11:41 am
The Centers for Medicare & Medicaid Services (CMS) has proposed rescinding current procedural standards that must be met for states to demonstrate that Medicaid fee-for-service (FFS) payments are sufficient to assure beneficiary access to covered services. [read post]
3 Jul 2010, 6:08 am
August 24, 2010 is the deadline for concerned health care providers or others to submit comments on regulations that the Centers for Medicare & Medicaid Services (CMS) recently proposed to implement key provisions in the Affordable Care Act of 2010 concerning Medicare reimbursement preventive services, primary care services, certain rural health care services, imaging and certain other services. [read post]
29 Sep 2016, 5:45 am
On September 28, 2016, the Centers for Medicare & Medicaid Services (CMS) released a highly-anticipated final rule to strengthen requirements that long-term care (LTC) facilities must meet to participate in the Medicare and Medicaid programs. [read post]
6 May 2019, 6:30 pm
"In its update in April to Nursing Home Compare, the Centers for Medicare & Medicaid Services gave its lowest star rating for staffing — one star... [read post]
27 Jan 2014, 6:27 am
According to the NSCLC paper: The Centers for Medicare and Medicaid Services (CMS) requires that sponsors of... [read post]
10 Dec 2009, 4:18 pm
Medicare liens are enforced through the Centers for Medicare and Medicaid Services (CMS). [read post]
