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MCOs shift Medicaid landscape

‘We are disappointed that they are taking away quality customer service and care’
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08/18/2017

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

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08/18/2017

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

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08/15/2017

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

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04/11/2017

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.

MassHealth moves toward preferred manufacturer model

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04/04/2017

BOSTON – MassHealth has published a request for response for a preferred manufacturer/distributor for incontinence products, according to the Home Medical Equipment Services Association of New England.

With Verma in place, it’s time to get to work

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03/17/2017

WASHINGTON – Seema Verma, the new CMS administrator, is a relative unknown as far as HME is concerned, but stakeholders say having new leadership in place offers new opportunities to press forward on a host of issues.

Verma is your new CMS administrator

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03/14/2017

WASHINGTON – The Senate has voted 55-43 to approve the nomination of Seema Verma, a health policy consultant from Indiana, as CMS administrator.

Nominee Verma to face Senate committee

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02/15/2017

WASHINGTON – Seema Verma, President Trump’s pick to run CMS, is scheduled to appear before the Senate Finance Committee Thursday at 10 a.m.

Oklahoma Medicaid announces 25% cuts

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03/31/2016

OKLAHOMA CITY – The Oklahoma Health Care Authority, which oversees the state’s Medicaid program, is cutting reimbursement rates for more than 46,000 providers by 25%, according to local news reports.

Coming soon to all Medicaid: face-to-face rule

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01/29/2016

WASHINGTON – CMS has put physicians and HME providers on alert that they must soon comply with a face-to-face rule for Medicaid recipients.

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