Medicaid Managed Care – medicarereport.org

Thursday, November 21, 2024

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CMS DHS -OIG Medicaid

Eileen Cook December 1, 2023December 1, 2023 CMS, Deceased Medicaid Enrollees, DHS-OIG, HHS Inspector General's Office Audit, Improper Payments, Medicaid, Medicaid Managed Care

OIG: 14 states paid managed care organizations $249M for deceased Medicaid enrollees

(By Rylee Wilson for Becker’s Hospital Review) Fourteen states gave managed care organizations payments for Medicaid enrollees for months after

Disabled Health Care - General Health Care Finance Hospice/Home Health Services LTC Medicaid Nursing Homes

Eileen Cook October 25, 2023October 25, 2023 Disabled, Long-term Care, Medicaid, Medicaid HCBS program, Medicaid Managed Care, Older Adults

In Response to Home-Care Workforce Shortages, Most States Report Increasing Medicaid’s Payment Rates and Expanding Worker Opportunities

(By Alice Burns, Maiss Mohamed, and Molly O’Malley Watts for The Kaiser Family Foundation Published: Oct 24, 2023) Long-standing workforce

DHS -OIG Medicaid

Eileen Cook July 20, 2023 0 Comments DHS -Office of Inspector General, Medicaid Managed Care, Prior Authorization

Medicaid managed care organizations deny 1 in 8 prior authorization requests: OIG

(By Rylee Wilson for Becker’s Hospital Review) HHS’ Office of Inspector General raised concerns about the rate of prior authorization