CalAIM Community Supports Sees Slow Initial Roll Out
CalAIM launched in January 2022 and in this blog, we will take a look at the slow initial rollout of the Community Supports and how it is impacting individuals in need of service.
Healthcare Payers
CMS Provides Roadmap to Connect Children With Complex Medical Conditions to Necessary Medicaid Services
The U.S. Department of Health and Human Services, through the Centers for Medicare & Medicaid Services (CMS), today unveiled guidance on a new Medicaid health home benefit for children with medically complex conditions.
Delaware Department of Health and Social Services Announces Companies to Operate Medicaid Managed Care Program
The Department of Health and Social Services (DHSS) announced today that it has selected three companies to operate its Medicaid Managed Care Program.
CMS Proposed Physician Payment Role Designed to Expand Access to Quality Care
CMS issued the Calendar Year 2023 Physician Fee Schedule (PFS) proposed rule, which would significantly expand access to behavioral health services, ACOs, cancer screening, and dental care
CMS Issues Home Health Prospective Payment System Rate Update Proposed Rule
On June 17, 2022, CMS issued the calendar year 2023 Home Health Prospective Payment System Rate Update proposed rule, to update Medicare payment policies and rates for home health agencies.
HHS & CMS Providing Resources to States to Ensure Access to Quality Care
The U.S. Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS) unveiled a suite of new resources to improve CMS and state oversight of Medicaid and Children’s Health Insurance Program (CHIP) managed care programs
Several States Extend Medicaid Postpartum Coverage to 12 Months
CMS approved actions in Maine, Minnesota, New Mexico, and Washington, D.C., to extend Medicaid and CHIP coverage for 12 months after pregnancy.
Humana Expanding Value-Based Home Care Subsidiary to Virginia
Humana Inc. announced that it will bring its onehome value-based home care model to Virginia. The expansion will support Medicare beneficiaries healing at home and create employment opportunities in Virginia.
HHS And CMS Announce Extension of Spending Deadline for American Rescue Plan Funding
HHS & CMS notified states that they now have an additional year — through March 31, 2025, to use ARP funds to enhance, expand, and strengthen home- and community-based services (HCBS) for people with Medicaid who need long-term services and supports
LTSS Sector Hit Harder with Worker Shortages
Every sector in healthcare has suffered from the current worker shortage, but none more so than long-term care, according to a report issued this month by the Department of Health and Human Services Office of the Assistant Secretary for Planning and Evaluation