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Connecticut providers face steep cuts


HARTFORD – The Connecticut Department of Social Services has published a bulletin outlining its plans to reduce reimbursement rates for HME, supplies, O&P and complex rehab by 50% to 60% on April 1, according to the Home Medical Equipment and Services Association of N

MassHealth delays transition to preferred supplier


BOSTON – A preferred supplier contract for incontinence supplies between MassHealth and Geriatric Medical will now go live April 15, instead of March 1.

Cures update: Georgia Medicaid reverses course


ATLANTA – HME industry stakeholders have succeeded in steering Georgia away from basing its Medicaid reimbursement on competitive bidding-based Medicare reimbursement, AAHomecare reported this week.

CMS eases pressure on states, AAH says


WASHINGTON – CMS has given state Medicaid directors more “open-ended guidance” for complying with a provision in the 21st Century Cures Act, AAHomecare reported Jan. 5.

CMS stacks deck against Medicaid

Guidance letter about rate cuts comes days before implementation date

WASHINGTON – With little time to make an informed decision, an increasing number of states, including Georgia, Indiana and Washington, are planning to adopt Medicare reimbursement for certain DME to comply with a provision in the 21st Century Cures Act.

CMS starts implementation process for Cures provision


WASHINGTON – CMS wants state Medicaid programs to submit their DME fee schedules using a new spreadsheet to make sure they’re not paying too much for equipment, according to a notice in the Federal Register.

MCOs shift Medicaid landscape

‘We are disappointed that they are taking away quality customer service and care’

YARMOUTH, Maine – Managed care organizations targeting single-source or preferred provider contracts to provide DME and supplies for Medicaid recipients is a trend that’s spreading across the country, according to the results of a recent HME Newspoll.

In brief: HHS scores win in appeals fight, Superior HealthPlan makes changes to Medline contract


NEW YORK – The D.C. Circuit on Aug. 11 ordered a federal judge to take a deeper look at whether or not the U.S. Department of Health and Human Services can clear a backlog of about 600,000 appeals by 2021, while still protecting taxpayer dollars, according to Law360.

Superior HealthPlan to make changes to Medline contract


AUSTIN, Texas – Superior HealthPlan, a managed care company that’s administering part of the state’s Medicaid program, has decided to delay a contract with Medline until Oct. 1, according to the San Antonio Express-News.

Oklahoma considers steep cuts for Medicaid


OKLAHOMA CITY, Okla. – The Oklahoma Health Care Authority has had to map out budget scenarios for the upcoming fiscal year based on a 5% to 15% reduction in state appropriations, according to Tulsa World.