Friday, August 13, 2021

8/13 Medicaid Updates

 

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Medicaid.gov

1915(c) HCBS Waiver Payments and Financing Trends

September 8, 2021 from 1:30-3:00 PM ET 

This training will explore trends in waiver service payments and financing as reported in all active 1915(c) waiver programs as of June 30, 2020. This training will highlight how states finance the non-federal share of 1915(c) waiver costs, the most common rate setting methodologies, and other 1915(c) payment arrangements. 

Register Here: https://attendee.gotowebinar.com/register/1508724982445952527

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CMS Releases the FY2022 IPPS/LTCH PPS final rule (CMS-1752-P); Medicaid Provider Enrollment and Medicare Cost-sharing for Dually Eligible Beneficiaries

 

On August 2, 2021, CMS issued the FY2022 IPPS/LTCH PPS final rule (CMS-1752-P), available at https://www.federalregister.gov/public-inspection/2021-16519/medicare-program-hospital-inpatient-prospective-payment-systems-for-acute-care-hospitals-and-the.

As a reminder, one policy specifically affects dually eligible individuals and the providers or suppliers who serve this population. This policy requires state Medicaid agencies to allow enrollment of all Medicare-enrolled providers and suppliers that serve dually eligible individuals for purposes of processing claims for Medicare cost sharing. This requirement only applies to Medicare-enrolled provider and suppliers who wish to enroll with the state Medicaid agency, including out-of-state providers. We finalized this policy as written.

Please see Section X ("Medicaid Enrollment of Medicare Providers and Suppliers for Purposes of Processing Claims for Cost-Sharing for Services Furnished to Dually Eligible Beneficiaries") for more information and the updated regulatory text in 42 CFR 455.10.

Thank you for taking the time to review and comment on the proposals. We look forward to working with you on implementation on the final policy.

 


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