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: […]
Texas on the Verge of Change: CMS Finds State is not in Compliance with Post Eligibility Treatment of Income
The Administrator of the Centers for Medicare & Medicaid Services (CMS) has found that the Texas Health and Human Service Commission (THHSC) is not properly calculating the post-eligiblity treatment of income (PETI) for institutionalized individuals and certain participants in home and community-based services (HCBS) waivers. If CMS’s finding is upheld, Texas will be required to […]
Filial Responsibility Laws and Long-Term Care
Known as “filial responsibility laws,” many states (more than half) have long-standing statutes in place that hold an adult child responsible for the financial support of an indigent parent. In most states, these statutes have been largely ignored, especially since the launch of the Medicaid and Medicare programs in the 1960s. However, as the senior […]
Facilities Turn to Filial Responsibility Statutes
As the populations of long-term care facilities grow at a rate faster than the average long-term care resident’s ability to pay for the care they receive, facilities are taking a huge hit to their bottom line. This has forced some long-term care facilities to close their doors after operating at a loss, which can be […]