MassHealth recently issued a Nursing Facility Bulletin, advising providers that in compliance with federal requirements it will be applying retroactive decreases to the Patient Paid Amounts (PPA) for MassHealth members who were residents of a nursing facility between 4/1/2020 and 11/30/2020 and who saw an increase in their PPA during that time. As a result, […]
Tennessee has received approval from the federal government for an unprecedented change in the Medicaid program which would convert the TennCare program to a block grant funding system. Tennessee is the first state to receive approval for block grant funding for its Medicaid program – in fact, it’s the only state that has ever asked to receive a block grant. Block grant funding could transform the TennCare program by providing Tennessee with a fixed amount of federal funding for the TennCare program in exchange for an increase in flexibility in how the funding is used and how the TennCare program is administered.
This week Katie Van Lake and Alice Vautour will be presenting at the Connecticut Association of Health Care Facilities Educational Conference and Tradeshow. In preparation for the event Alice and Katie have recorded two webinars specifically for conference attendees: Show AR Who’s in Charge and COVID-19 & Medicaid: Eligibility & Billing Workflows. In addition, conference attendees will be able to access selected Stotler Hayes Group On Demand Webinars and chat with attorneys during virtual meet and greets.
As the number of new COVID-19 cases rises across the U.S., possibly confirming the theory of a “second wave,” it is increasingly important for long-term care (“LTC”) providers to be aware of the legal exposure they could face for an outbreak of the virus at their facility. Legal actions filed thus far in various states […]
The State of New Jersey has utilized Medicaid expansion to provide Medicaid coverage for Residents of Assisted Living Facilities (“ALF”). However, recently many Assisted Living Facilities and their Residents have experienced an increase in the issuance of denials for Medicaid coverage due to findings by the Department of Human Services, Division of Medical Assistance and […]