Late last week, MassHealth implemented significant changes to its regulations on filing and pursuing an appeal for a Medicaid applicant who has passed away. The changes, impacting both providers and applicant’s families, place a number of hurtles in the appeal process and pave the way for MassHealth to dismiss previously proper appeals. The Board of […]
SHG Submits Comment on CMS’s Patients Over Paperwork Initiative
In June, CMS published a Request for Information soliciting public comments on ideas for regulatory, policy, practice, and procedural changes to reduce unnecessary administrative burdens for clinicians, providers, and patients pursuant to CMS’ Patients over Paperwork initiative. SHG worked with one of the nation’s largest long-term care providers to submit extensive comments addressing many administrative burdens placed […]
Alabama Increases Estate Recovery Efforts
Effective September 1, 2019, Alabama will require notice to be provided to the Alabama Medicaid Agency “AMA” in every decedent’s estate proceeding in Alabama under Alabama’s soon to be enacted ACT #2019-489. To properly provide notice to the AMA, a letter or form must be mailed by certified mail to the Alabama Medicaid Agency, Attn: […]
Resident’s Rights on the Verge of Major Breakthrough in Texas
A Texas resident’s right to deduct incurred medical expenses is on the verge of a major breakthrough in Texas. For years, the Texas Health and Human Services Commission (“THHSC”) has failed to recognize well-settled Federal law regarding a resident’s right to apply their patient liability toward uncovered medical expenses incurred prior to qualifying for Medicaid […]
The Texas Nursing Home Quality Act
The Texas Nursing Home Quality Act (SB 1050 and HB 3342) would make Texas a leader in quality-based payments in nursing home care. The pending legislation is designed to bring federal tax dollars back to Texas while providing incentive based additional funding to nursing home facilities. The program differs from the programs in operation in […]
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