Long-term care residents and providers in Kansas are in the midst of some potentially very positive developments as the State undertakes some major changes to the way Medicaid applications are processed. Over the last several years, the Kansas long-term care community took some serious hits due to a severe backlog of Medicaid cases, which caused […]
New York Planning Drastic Cuts to Medicaid Nursing Home Rates
The New York State Department of Health (DOH) is planning to radically change how it calculates Medicaid nursing home reimbursements. DOH’s new method will alter the way the state calculates the average Case Mix Index (CMI) of Medicaid nursing home residents in order to save the Medicaid program $246 million, half of which will come […]
NJ Governor Signs SB499 Paving Way for Increased Efficiencies in Medicaid Eligibility Determinations
Following the efforts of the NJ Health Care Association and many of its providers and our clients, Governor Murphy signed SB 499 into law on August 23, 2019. Congratulations to all of our NJ clients and providers for a hard-fought won. We look forward to continuing working with you to improve the Medicaid eligibility system […]
Massachusetts Imposes Restrictions on Medicaid Appeals for Deceased Applicants
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 […]
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: […]
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