Medicaid/Medicare

Rules Will Clarify Conditions of Participation for Mental Health Centers
   The Dept. of Health and Human Services finishes work on draft final rules establishing Conditions of Participation for community mental health centers in the Medicare program
posted 5/15/13 8:47 PM  read complete story

More Freedom to Fight Fraud Coming to State Medicaid Agencies
   The administration continues efforts to reduce health spending in existing programs. The Dept. of Health and Human Services will soon issue final rules to modify current regulations that prohibit State Medicaid Fraud Control Units
posted 5/15/13 8:45 PM  read complete story

GAO Offers Suggestions on Better Ways to Allocate Medicaid Funding
   The Government Accountability Office issues a report suggesting ways to develop measures to allocate Medicaid funding to states more equitably than the current funding formula -- known as the Federal Medical Assistance Percentage (FMAP) -- which is based solely on per capita income.
posted 5/13/13 9:18 PM  read complete story

CMS to Revise Medicare Quality Contracts
   The Centers for Medicare & Medicaid Services plans to restructure how it administers Quality Improvement Organization contractors.
posted 5/9/13 9:59 PM  read complete story

CMS Nominee Breezes, But Efforts to Cut Medicaid, Medicare Gain Support
   Marilyn B. Tavenner, President Obama's nominee for administrator of the Centers for Medicare and Medicaid Services, told the Senate Finance Committee she would continue efforts by CMS to streamline various Medicaid
posted 4/12/13 10:09 AM  read complete story

Expect More Pressure on Medicare, Medicaid Overpayments
   Reducing "waste and fraud" tend to be reasons most often cited when Washington looks for ways to cut federal spending. With efforts to make major changes in either Medicare or Medicaid fraught
posted 4/2/13 12:36 PM  read complete story

Enhanced Medicaid Payment Assistance Guidelines Are Here
   The Department of Health and Human Services has finished work on final rules establishing the method it will use in determining the enhanced Federal Medical Assistance Percentage
posted 4/1/13 3:49 PM  read complete story

Medicare and Sequestration
   The Centers for Medicare and Medicaid Services releases updates of key Medicare guidelines
posted 3/13/13 08:14 AM  read complete story

Final Medicaid Expansion Rules Making Progress
   The Dept. of Health and Human Services has finished work on guidelines designed to help the agency determine federal Medicaid
posted 3/13/13 08:07 AM  read complete story

CMS to Evaluate Bonus Program for Quality Care
    The Centers for Medicare and Medicaid Services is working with an outside contractor to evaluate the Medicare Advantage Quality Bonus Payment Demonstration
posted 3/7/13 8:49 PM  read complete story