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Medicaid

Medicaid

State Implementing Copayment Reduction Provision

Medicaid reimbursement for coinsurance for Medicare Advantage members is being reduced to 85 percent of the full amount.

June 5, 2017

Medicaid

Executive Order 38 Reporting Date Approaching

Covered providers must submit required information related to executive compensation and administrative expenses in late June.

May 30, 2017

Medicaid

Nursing Home Cost Report Due July 3rd

A Cost Report patch making needed updates to schedule 17 is now available for download on the HCS.

May 24, 2017

Medicaid

Improper Medicaid Payment Audits Underway

Medicaid providers and managed care plans may receive document requests as part of the Payment Error Rate Measurement (PERM) Project.

May 30, 2017

Medicaid

RHCF Medicaid Cost Report Software Posted

DOH announces July 3rd due date.

May 8, 2017

Medicaid

Nursing Home Waiting Game

DOH provides status updates on nursing home reimbursement issues, several of which await finalization.

May 5, 2017

Medicaid

Year End Global Cap Update

DOH reviews 2016-17 Global Cap results and enacted State Budget highlights.

April 27, 2017

Medicaid

Update on Nursing Home Reimbursement Issues

DOH reports roster submission success, outlines rate setting timetable.

April 10, 2017

Medicaid

Nursing Home Medicaid Funding Update

DOH will be seeking proposals for an MDS audit contractor and is examining the need for nursing homes that are currently exempt from the Medicaid two-week payment lag to continue that exemption. 

March 10, 2017

Medicaid

Timing of 2015 Assessment Reconciliation

Correct payment adjustment amounts related to the 2015 nursing home Cash Receipts Assessment reconciliation are expected in Medicaid payment cycle 2062.

February 21, 2017
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