What the Medicaid Access Rule Means for Care in the Home

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On April 22, the Centers for Medicare and Medicaid Services (CMS) released the Final Medicaid Access rule. The Medicaid Access rule contains several wide-ranging and impactful policies that will significantly impact Medicaid home and community-based services (HCBS) and homecare providers. Most notable is the “payment adequacy provision” which requires that a minimum percentage of Medicaid […]

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Bill Introduced to Stop CMS Finalizing Medicaid 80-20 Provision

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On April 23, the House of Representatives’ Energy and Commerce Committee announced that its Health Subcommittee would be holding a hearing on April 30th, 2024, titled, “Legislative Proposals to Increase Medicaid Access and Improve Program Integrity.” The hearing notice contains 19 pieces of legislation that address various components of the Medicaid program. Most importantly to […]

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What the Medicaid Access Rule Means for Care in the Home

By:

On April 22, the Centers for Medicare and Medicaid Services (CMS) released the Final Medicaid Access rule. The Medicaid Access rule contains several wide-ranging and impactful policies that will significantly impact Medicaid home and community-based services (HCBS) and homecare providers. Most notable is the “payment adequacy provision” which requires that a minimum percentage of Medicaid […]

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CMS Releases Updates to HCBS Quality Measures

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On Thursday, April 11, CMS released three items relevant to quality measurement in Home and Community-Based Services. These include: A CMCS Informational Bulletin that updates the existing HCBS Quality Dataset. The HCBS Quality Dataset, first implemented in 2022, is a set of national measures that is voluntary for state Medicaid agencies to collect and report. […]

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OIG Issues Annual Medicaid Fraud Control Unit Report

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On Thursday, March 14th, the Office of Inspector General (OIG) at the Department of Health and Human Services released a report detailing the 2023 outcomes from the State Medicaid Fraud Control Units across the country. The report notably highlighted several areas of interest for home health and personal care providers, further demonstrating the OIG’s emphasis […]

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CMS to Provide Guidance to States on Flexibilities for States, Medicaid Providers After Cyberattack on Change Healthcare

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The Centers for Medicare & Medicaid Services (CMS) Administrator Chiquita Brooks-LaSure participated in a roundtable with senior Administration leaders to hear from health care providers about the challenges they are experiencing following the cyberattack on UnitedHealth Group’s subsidiary Change Healthcare, and to urge health insurers to do more to support affected providers and suppliers.  At […]

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