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medicaid

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.

Oklahoma considers steep cuts for Medicaid

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04/11/2017

OKLAHOMA CITY, Okla. – The Oklahoma Health Care Authority has had to map out budget scenarios for the upcoming fiscal year based on a 5% to 15% reduction in state appropriations, according to Tulsa World.

MassHealth moves toward preferred manufacturer model

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04/04/2017

BOSTON – MassHealth has published a request for response for a preferred manufacturer/distributor for incontinence products, according to the Home Medical Equipment Services Association of New England.

With Verma in place, it’s time to get to work

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03/17/2017

WASHINGTON – Seema Verma, the new CMS administrator, is a relative unknown as far as HME is concerned, but stakeholders say having new leadership in place offers new opportunities to press forward on a host of issues.

Verma is your new CMS administrator

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03/14/2017

WASHINGTON – The Senate has voted 55-43 to approve the nomination of Seema Verma, a health policy consultant from Indiana, as CMS administrator.

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