Search for: "Children's Health Care v. Centers for Medicare and Medicaid Services" Results 1 - 20 of 65
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23 Mar 2020, 1:28 pm by Michael Cook
” [3] Prior to calendar year 2019, the Centers for Medicare and Medicaid Services (“CMS”) has considered an item or service to be “primarily health related” only if the primary purpose is to “prevent, cure, or diminish an illness or injury. [read post]
26 Jun 2020, 10:43 am by Michael Lowe
Medicaid defines itself as the federal health insurance program for low-income adults, children, pregnant women, elderly adults, and people with disabilities who meet its eligibility requirements. [read post]
28 Sep 2020, 8:58 am by Robert Liles
”[1]  Among its many changes, the Final Rule significantly expanded the reasons that may be asserted by the Centers for Medicare and Medicaid Services (CMS) when revoking a health care provider’s enrollment and Medicare billing privileges. [read post]
18 Sep 2019, 2:08 pm by admin
Big Changes to CMS Form 855 are on the Horizon (September 18, 2019):  On September 10, 2019, the Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS), published a Final Rule in the Federal Register entitled “Medicare, Medicaid, and Children’s Health Insurance Programs; Program Integrity Enhancements to the Provider Enrollment Process. [read post]
28 Sep 2020, 8:58 am by Robert Liles
”[1]Among its many changes, the Final Rule significantly expanded the reasons that may be asserted by the Centers for Medicare and Medicaid Services (CMS) when revoking a health care provider’s enrollment and Medicare billing privileges. [read post]
18 Sep 2019, 2:08 pm by Robert Liles
(September 18, 2019):  On September 10, 2019, the Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS), published a Final Rule in the Federal Register entitled “Medicare, Medicaid, and Children’s Health Insurance Programs; Program Integrity Enhancements to the Provider Enrollment Process. [read post]
3 Nov 2023, 2:24 pm by Kalvis Golde
The post Tribal self-governance at center of dispute over federal health care costs appeared first on SCOTUSblog. [read post]
16 Feb 2016, 12:15 pm by Frank C. Morris, Jr.
  The suit notes that CMS is the largest single payor for health care in the country providing coverage to nearly 90 million persons through Medicare, Medicaid and the State Children’s Health Insurance Program. [read post]
14 Aug 2017, 12:03 pm by Thomas Dowdell (US)
On August 3, the Centers for Medicare & Medicaid Services (CMS) approved a five-year extension of the State of Florida’s Managed Medical Assistance Section 1115 Waiver Demonstration. [read post]
9 Mar 2020, 10:26 am by Robert Liles
(March 6, 2020):   Last September, the Centers for Medicare and Medicaid Services (CMS) published a Final Rule titled “Medicare, Medicaid, and Children’s Health Insurance Programs; Program Integrity Enhancements to the Provider Enrollment Process. [read post]
9 Mar 2020, 10:26 am by Robert Liles
(March 9, 2020):   Last September, the Centers for Medicare and Medicaid Services (CMS) published a Final Rule titled “Medicare, Medicaid, and Children’s Health Insurance Programs; Program Integrity Enhancements to the Provider Enrollment Process. [read post]
8 Oct 2019, 2:00 pm by Salma Mokbel
  If a health care provider, supplier or other entity is “excluded” from participation in the Medicare or Medicaid programs, the excluded party cannot provide care or services to Medicare and / or Medicaid beneficiaries. [read post]
23 Jan 2020, 3:08 am by Kellie McTammany
For 2018, Medicaid spending was at $597.4 billion, according to the Centers for Medicare and Medicaid Services. [read post]
The Centers for Medicare & Medicaid Services (“CMS”) has published the Hospital Outpatient Prospective Payment System (“OPPS”) and Ambulatory Surgery Center (“ASC”) final rule for CY 2021. [read post]
4 Nov 2021, 7:03 pm by Edward T. Kang and Ryan T. Kirk
For its part, the Centers for Medicare and Medicaid Services (CMS) estimated that around 7% of Medicare spending in 2019 was improperly reimbursed. [read post]
15 Sep 2015, 4:42 am by Cynthia Marcotte Stamer
Associations, Consumer Operated and Oriented Plan (CO-OP) Programs, Stand Alone Dental Plans, Federally-faciliated Marketplace (FFM) Issuers, State Based Marketplaces, SBM Issuers, and Small Business Health Options Program (SHOP) issuers should review the Centers for Medicare & Medicaid Services (CMS) Payment Policy & Financial update on CMS’ policies regarding the administration of the enrollment and payment data reporting requirements of… [read post]
20 Nov 2014, 11:30 am by Greene LLP
” By prohibiting case managers from being involved in and reviewing decisions regarding inpatient admissions, Prime was allegedly in direct violation of The Centers for Medicare and Medicaid Services (“CMS”) requirements that hospitals must have utilization review plans in place. [read post]
In particular, the Centers for Medicare & Medicaid Services (“CMS”) announced its support for work and community engagement requirements on January 11, 2018 in a Letter to State Medicaid Directors. [read post]
31 Mar 2020, 8:38 am by admin
Section 3708, Improving Care Planning for Medicare Home Health Services: This provision enables nurse practitioners, clinical nurse specialists, and physician assistants to order home health services, and certify and recertify patients for home health care. [read post]