Search for: "THE OFFICE OF MEDICAID POLICY AND PLANNING"
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11 Nov 2015, 10:40 am
A spokesperson for Janek said the commissioner wanted to “make sure policies and processes are fair and effective and clearly communicated to providers. [read post]
14 Aug 2023, 9:22 pm
If the beneficiary disagrees with the appeal decision, they can request a fair hearing to have their case reviewed by an impartial hearing officer. [read post]
25 May 2011, 7:20 am
According to the Congressional Budget Office, the Republican House’s block grant plan would reduce federal Medicaid funding by 35 percent in 2022 and by 49 percent in 2030, compared to the current system. [read post]
23 Sep 2022, 5:00 am
The NJ Department of Human Services, Office of Licensing, has just issued an Information Bulletin which outlines the requirements for licensed community residences which participate in the State’s Medicaid Home & Community Based Waiver Programs. [read post]
29 Sep 2016, 6:52 am
Thomas The Centers for Medicare and Medicaid Services, Office of the Inspector General (“OIG”) published a Proposed Rule in the September 20, 2016 Federal Register that would change the structure and expand the authority of State Medicaid Fraud Control Units (“MFCU”). [read post]
25 Sep 2012, 10:25 am
The best way to avoid Medicaid post eligibility problems is to plan properly with an elder law attorney. [read post]
3 Jun 2020, 1:07 pm
In response, many State Medicaid plans (especially Medicaid Advantage plans) have taken steps to make it easier for plan beneficiaries to obtain care by their primary care provider after normal business hours rather than be forced have to seek significantly more expensive hospital emergency room assistance during evenings, weekends and holidays, when their primary caregiver’s offices would normally be closed. [read post]
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]
3 Jun 2020, 1:07 pm
In response, many State Medicaid plans (especially Medicaid Advantage plans) have taken steps to make it easier for plan beneficiaries to obtain care by their primary care provider after normal business hours rather than be forced have to seek significantly more expensive hospital emergency room assistance during evenings, weekends and holidays, when their primary caregiver’s offices would normally be closed. [read post]
2 Jun 2016, 12:14 pm
The HHS Office of Inspector General (OIG) and the Government Accountability Office (GAO) have recently examined a number of Medicare and Medicaid provider screening and related program integrity issues. [read post]
11 Nov 2015, 2:17 pm
The two-year, $80 billion budget/debt-ceiling deal is funded in part by several significant Medicare and Medicaid policies, including an extension of Medicare sequestration, changes to Medicare payment for services provided in “new” off-campus hospital outpatient departments (OPDs), and extention of inflation-based Medicaid drug rebates to generic drugs. [read post]
12 Aug 2020, 7:51 pm
California 20-18Issue: Whether the pursuit of a person whom a police officer has probable cause to believe has committed a misdemeanor categorically qualifies as an exigent circumstance sufficient to allow the officer to enter a home without a warrant. [read post]
13 Jun 2014, 11:47 am
Our position is that all laws, regulations, codes, and policies regarding the insurance providers' operation of Medicaid and Medicare Advantage plans serve to define the relationship between the state, the plan, the provider, and Medicare and Medicaid beneficiaries. [read post]
29 Oct 2021, 6:13 am
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) included several new items in its work plan update in October 2021. [read post]
19 Jan 2011, 4:59 pm
As New York elder law attorneys with offices in over eleven counties, Ettinger Law Firm is familiar with many application requirements of statewide Department of Social Services offices. [read post]
1 Jun 2011, 7:24 pm
“Medicaid programs may not exclude qualified health care providers from providing services that are funded under the program because of a provider’s scope of practice,” Berwick wrote in a letter to Patricia Cassanova, the director of Indiana’s office of Medicaid Policy and Planning. [read post]
8 Jun 2019, 4:00 am
Under managed care, MCOs are expected to police the drugs Medicaid recipients enrolled in their plans can get and to determine their medical necessity.Auditors found that did not always happen. [read post]
26 Mar 2019, 1:34 pm
The Administration’s budget proposal covers many other HHS policies, such as new minimum individual contributions for subsidized enrollees in ACA Exchange health plans; extension of ACA Cost-Sharing Reduction payments through CY 2020; Medicare appeals system improvements; medical liability reforms; changes to survey and certification policies; Medicare-Medicaid dually-eligible beneficiary policies; and provisions to address the opioid epidemic. [read post]
9 Nov 2015, 6:19 am
If you have additional questions or concerns about Medicaid planning or estate planning in general, contact the experienced New York estate planning attorneys at The Law Offices of Saul Kobrick, P.C. by calling 800-295-1917 to schedule your appointment. [read post]
21 Nov 2016, 4:05 am
The HHS Office of Inspector General (OIG) has issued its FY 2017 Work Plan, which lays out the OIG’s current audit, evaluation, and other legal and investigative priorities. [read post]
