Skip to Content

Tag: Medicaid


News

North Carolina implements Medicaid rate floor

July 8, 2021HME News Staff

RALEIGH, N.C. – North Carolina Gov. Roy Cooper on June 29 signed S594, a bill that creates a rate floor for durable medical equipment, ACMESA and AAHomecare report.  Per the legislation, reimbursement for DME will be set at 100% of the lesser of the supplier’s usual and customary rate or the maximum allowable Medicaid fee-for-service rates for DME and supplies, orthotics and prosthetics.  The legislation, which went into effect July 1, protects rate floor provisions for...

aahomecare, ACMESA, Durable Medical Equipment, Medicaid, North Carolina Medicaid


Read Full Articlered right arrow icon

Also Noted

CMS names Medicaid administrator

July 1, 2021HME News Staff

WASHINGTON – CMS has named Daniel Tsai as Deputy Administrator and Director of Center for Medicaid and CHIP Services, effective July 6. Tsai will lead the Center’s efforts to address disparities in health equity and serving the needs of the record 80 million children, pregnant people, parents, seniors, and individuals with disabilities. “As someone who has successfully led a state Medicaid program to focus on value-based care for its recipients, Dan brings invaluable experience...

Daniel Tsai, Medicaid


Read Full Articlered right arrow icon

News

In brief: Accessories reprieve, oxygen challenge, advocate of the year

June 25, 2021HME News Staff

WASHINGTON – CMS has announced a 90-day suspension of scheduled Medicare cuts to accessories for complex rehab manual wheelchairs, NCART reports.  That extends an 18-month suspension that would have expired on July 1 to Oct. 1.  “They will use this time for further analysis and, hopefully, a permanent suspension,” Don Clayback, executive director of NCART, tweeted today. “Thank you advocates, Congress and CMS.”  On Monday, a letter led...

aahomecare, Medicaid, NCART, Oventus Medical, Philips Recall, Roll on Capitol Hill


Read Full Articlered right arrow icon

News

Medicaid, CHIP enrollees increase 13.9%

June 22, 2021HME News Staff

WASHINGTON – A record more than 80 million individuals now have health coverage through Medicaid and the Children’s Health Insurance Program (CHIP), according to a new Enrollment Trends Snapshot Report that CMS released this week.  Nearly 9.9 million individuals, a 13.9% increase, enrolled in coverage between February 2020, the month before the public health emergency was declared, and January 2021, according to the report, which is released monthly.  “This report...

Children's Health Insurance Program, CHIP, Enrollment, Medicaid


Read Full Articlered right arrow icon

Also Noted

State news: Texas, Ohio

April 13, 2021HME News Staff

AAHomecare has worked with TexMEP and other stakeholders to get three bills introduced in the state legislature on rate stability and patient access to quality HME. HB 3679 would require Medicaid managed care organizations to reimburse providers at no less than 95% of the state’s published Medicaid DME fee schedule. HB 3678 would update the insurance code to support Medicaid continuity of care and patient choice language, and ensure adequate reimbursement. HB 3677 would amend...

aahomecare, Managed Care, Medicaid


Read Full Articlered right arrow icon

Providers push back against cuts by MCOs 

News

Providers push back against cuts by MCOs 

March 12, 2021Theresa Flaherty, Managing Editor

COLUMBIA, S.C. – HME providers are fighting large managed care organizations that are increasingly pushing into more states and offering reduced reimbursement rates, say industry stakeholders.  The straw that’s breaking the camel’s back: The COVID-19 pandemic pushing the cost of doing business even higher, says Craig Douglas, vice president of payer and member relations for VGM.  “Acquisition...

aahomecare, Centene, Craig Douglas, Laura Williard, Managed Care, Medicaid, VGM


Read Full Articlered right arrow icon

Also Noted

MCOs and Medicaid: Call for support in NY 

March 2, 2021HME News Staff

ALBANY, N.Y. – AAHomecare is calling on providers in New York to help build support for two new bills in the state legislature that would require Medicaid managed care organizations to reimburse for DME and complex rehab at no less than 100% of the published Medicaid fee schedule for the same services and supplies. A.5368 was introduced in the State Assembly on Feb. 16 and S.5118 was introduced in the State Senate on Feb. 24. “This legislation is critically needed to ensure...

Complex Rehab, dme, fee schedule, Managed Care Organizations, Medicaid


Read Full Articlered right arrow icon

Also Noted

CMS approves block grant waiver in Tennessee 

January 14, 2021HME News Staff

NASHVILLE, Tenn. – CMS has approved Tennessee’s request for a block grant waiver for its state Medicaid program, TennCare, AAHomecare reports. The new program will allow TennCare to administer Medicaid with less oversight from the federal government, increasing its flexibility. The new block grant waiver – known as TennCare III – came after the General Assembly passed a law in 2019 directing Gov. Bill Lee’s administration to negotiate...

Medicaid, TennCare, Tennessee


Read Full Articlered right arrow icon

Also Noted

State news: Minnesota pauses recoupments 

December 29, 2020HME News Staff

ST. PAUL, Minn. – The Minnesota Department of Human Services has temporarily suspended its plans to recoup payments where the state Medicaid program paid more for DME than Medicare did in 2018 per the 21st Century Cures Act, MAMES reports. In December, the state association received a letter from the state saying, “DHS has temporarily suspended our processes for these recoveries.” MAMES believes the pause is due to the current public health emergency. “There...

21st Century Cures Act, Medicaid, recoupments


Read Full Articlered right arrow icon

Mobility

Complex rehab update: Medicaid worries, legislative hopes

November 20, 2020Liz Beaulieu, Editor

BUFFALO, N.Y. - State Medicaid programs are keeping a close watch on the severity of the COVID-19 pandemic and the progress of relief-related packages in Congress as they make their budget plans for 2021, says Don Clayback. That's the takeaway that Clayback, the executive director of NCART, had after attending the virtual meeting of the National Association of Medicaid Directors earlier this month. “With all of the COVID-19 expenses going on, along with the drop in revenues at the state level,...

Complex Rehab, Coronavirus Outbreak, Don Clayback, Medicaid


Read Full Articlered right arrow icon