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medicaid

Tenacity pays off in 10 states, and counting

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Monday, March 19, 2018
Laura Williard
vice president of payer relations, AAHomecare

In December 2016, Congress passed wide-ranging healthcare legislation popularly known as the Cures bill that expedited the implementation of a requirement that the federal portion of Medicaid reimbursement to states for HME cannot exceed what Medicare would have allowed for these items, in aggreg

Connecticut providers face steep cuts

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03/08/2018

HARTFORD – The Connecticut Department of Social Services has published a bulletin outlining its plans to reduce reimbursement rates for HME, supplies, O&P and complex rehab by 50% to 60% on April 1, according to the Home Medical Equipment and Services Association of N

MassHealth delays transition to preferred supplier

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03/02/2018

BOSTON – A preferred supplier contract for incontinence supplies between MassHealth and Geriatric Medical will now go live April 15, instead of March 1.

Cures update: Georgia Medicaid reverses course

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03/01/2018

ATLANTA – HME industry stakeholders have succeeded in steering Georgia away from basing its Medicaid reimbursement on competitive bidding-based Medicare reimbursement, AAHomecare reported this week.

CMS eases pressure on states, AAH says

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01/05/2018

WASHINGTON – CMS has given state Medicaid directors more “open-ended guidance” for complying with a provision in the 21st Century Cures Act, AAHomecare reported Jan. 5.

CMS stacks deck against Medicaid

Guidance letter about rate cuts comes days before implementation date
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12/29/2017

WASHINGTON – With little time to make an informed decision, an increasing number of states, including Georgia, Indiana and Washington, are planning to adopt Medicare reimbursement for certain DME to comply with a provision in the 21st Century Cures Act.

CMS starts implementation process for Cures provision

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11/28/2017

WASHINGTON – CMS wants state Medicaid programs to submit their DME fee schedules using a new spreadsheet to make sure they’re not paying too much for equipment, according to a notice in the Federal Register.

MCOs shift Medicaid landscape

‘We are disappointed that they are taking away quality customer service and care’
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08/18/2017

YARMOUTH, Maine – Managed care organizations targeting single-source or preferred provider contracts to provide DME and supplies for Medicaid recipients is a trend that’s spreading across the country, according to the results of a recent HME Newspoll.

In brief: HHS scores win in appeals fight, Superior HealthPlan makes changes to Medline contract

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08/18/2017

NEW YORK – The D.C. Circuit on Aug. 11 ordered a federal judge to take a deeper look at whether or not the U.S. Department of Health and Human Services can clear a backlog of about 600,000 appeals by 2021, while still protecting taxpayer dollars, according to Law360.

Superior HealthPlan to make changes to Medline contract

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08/15/2017

AUSTIN, Texas – Superior HealthPlan, a managed care company that’s administering part of the state’s Medicaid program, has decided to delay a contract with Medline until Oct. 1, according to the San Antonio Express-News.

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