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medicaid

Not all MCOs are hot on Medicaid

Smaller and nonprofit organizations exit, consolidating market
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05/17/2019

YARMOUTH, Maine – The upward trajectory of MCOs managing state Medicaid programs has hit a kink.

Medicaid roundup: Changes in North Dakota, South Dakota

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04/30/2019

The North Dakota House of Representatives and Senate have passed H.B.

Kansas proposes Medicaid rate cut

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01/09/2019

TOPEKA, Kan. – The Kansas Department of Health and Environment said in December it planned to submit an amendment to set the Medicaid fee schedule for DMEPOS items at 65% of the non-rural Medicare rates, effective Jan. 1.

CMS clarifies guidance on dual-eligibles

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01/08/2019

WASHINGTON – CMS has released updated guidance for state Medicaid programs on Medicare coverage for dual-eligible beneficiaries, clarifying that states do not need to require a Medicare denial for DMEPOS like incontinence supplies that the program routinely denies as non-

Pro tips: How to work with state Medicaid programs

Request 30-minute meetings and get to the point
 - 
12/21/2018

Medicaid directors have a huge undertaking, ensuring their programs meet budgets, adhere to federal and state guidelines, and provide excellent patient outcomes.

ActivStyle drops out of IlliniCare

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11/16/2018

SPRINGFIELD, Ill. – ActivStyle, a Minneapolis-based provider of incontinence supplies, is dropping out of IlliniCare Health’s network after “a year of operating at a loss,” CEO Gayle Devin has told Crain’s Chicago Business.

Something wicked this way comes: Literal (literal!) Mayhem heads to the Medicaid program

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Monday, October 22, 2018

Among the first providers I bumped into at Medtrade last week: The Feiersteins.

You know Lisa and Steve of Active Healthcare fame. They sold their sleep business and now focus on nebulizers and certain diabetes supplies.

AAH updates: Bidding, MedPAC, Medicaid

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06/21/2018

AAHomecare submitted two letters to Health and Human Services and CMS officials this week.

CMS to allow use of IFR rates in Medicaid calculations

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06/14/2018

WASHINGTON – CMS has agreed that states can process claims using the higher fee schedule amounts for claims in rural areas from June 1-Dec. 16, 2018, according to a bulletin from AAHomecare.

Tenacity pays off in 10 states, and counting

 - 
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

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