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CMS unveils managed care rule, refutes nursing home rule complaints

Fierce Healthcare

Medicaid managed care plans and the Children’s Health Insurance Program (CHIP) will be subject to new wait time standards and quality ratings requirements, the Centers for Medicare & Medicaid S | CMS defended implementing stronger rules over nursing home staffing as well as explained its thoughts behind Medicaid access and managed care rules.

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Florida Medicaid Providers: Action is Required by October 1, 2022

Health Law RX

AHCA is sending out postcards to existing Florida Medicaid providers (Providers) alerting them to upcoming changes in the Florida Medicaid program. Providers are urged to sign into their account on the Florida Medicaid portal immediately. County Health Department Certified Match Program Fee Schedule. Check your mailboxes.

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Government Requirements for Healthcare Facility Compliance

MedTrainer

Compliance is Mandatory for Federal Programs One constant is that organizations and facilities that participate in federal healthcare programs, such as Medicare and Medicaid, must have a compliance program. Nursing Homes: Skilled nursing facilities, long-term care facilities, and other types of nursing homes.

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What Is Involved With a Healthcare CMS Inspection?

MedTrainer

This means your organization must comply with the Health Insurance Portability and Accountability Act of 1996 (HIPAA). If you want to obtain or retain CMS certification in order to be reimbursed by services provided to patients with a Medicare/Medicaid health plan, you must comply with HIPAA rules and regulations.

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2024 HHS-OIG Top Areas of Focus

Provider Trust

Ensuring the Financial Integrity of HHS Programs In fiscal year (FY) 2022, improper payments within healthcare programs like Medicare, Medicaid, and Children’s Health Insurance Program (CHIP) were estimated at a staggering $131.6 With Medicaid, the challenges are equally formidable.

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What Is AHCA in Florida?

Florida Health Care Law Firm

The Agency for Health Care Administration (AHCA) in Florida was created by Chapter 20 of the Florida Statutes and serves as the primary health policy and planning institution for all of Florida. Florida’s Medicaid program is worth $25.2 Background screenings for those who work as administrators or employees in nursing homes.

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Health Provider News

Hall Render

CT’s Medicaid reimbursement rates lower than peer states: report Better safety training, reporting, escorts for CT home health care workers focus of new legislation D.C. Acquisition of BCBSLA Paused a Second Time It was the biggest health care deal in Louisiana history. What they say sets them apart.