Medicaid Reimbursement Issues

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Medicaid Reimbursement Issues

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Institute on Medicare and Medicaid Payment Issues – The American …

Mar 17, 2015 … j Reimbursement challenges faced by plans and providers. Exhibitors: AHLA …
cutoff is March 10, 2015 and may sell out prior to this date.

Medicaid Update March 2015 – New York State Department of Health

Mar 11, 2015 … successful testing through the PTE will minimize potential issues … Effective
October 1, 2015 New York Medicaid will only accept, …. facilities will not be
reimbursed for breast cancer surgeries provided to Medicaid recipients.

2015 Key Legislative Issues – MedChi

2015 Key Legislative Issues. PROTECT MEDICAID. BACKGROUND: The 2012
Maryland General Assembly increased Medicaid reimbursement for Evaluation …

June 2015 Medicaid Update – New York State Department of Health

Jun 1, 2015 … reimbursement methodology for practitioner claims: Medicaid presently …
Beginning July 1, 2015, Medicaid is no longer reimbursing partial Medicare …..
successful testing through the PTE will minimize potential issues with …

Update on Biosimilar Reimbursement Pathways … – Alston & Bird, LLP

Jul 10, 2015 … released, a number of issues were left outstanding, including the …. 2015, CMS
issued guidance on biosimilars and the Medicaid Drug.

2015 Advance Notice – Centers for Medicare & Medicaid Services

Sep 30, 2014 … Medicare Advantage (MA) Capitation Rates, Part C and Part D Payment … For
2015, CMS will announce the MA capitation rates on the first.

Chronic Care Management Services – Centers for Medicare …

The Centers for Medicare & Medicaid Services … Beginning January 1, 2015,
Medicare pays … Source:

section 2: texas medicaid fee-for-service reimbursement –

Aug 1, 2015 … AUGUST 2015 …. Texas Medicaid reimbursements are available to all enrolled
…. Problems that require urgent evaluation by a physician.

Biosimilar Reimbursement Pathways: CMS … – Alston & Bird LLP

Apr 6, 2015 … On March 6, 2015, the U.S. Food and Drug Administration (FDA) … However, a
number of issues remain … Reimbursement for drugs and biologicals under
Medicaid—and the rebates established under this program—have.

FY 2015 Work Plan – Office of Inspector General –

OIG's funding that is directed toward oversight of the Medicare and Medicaid …
processes, including key issues such as the accuracy of financial assistance ……
Comparison of Medicare Part D and Medicaid pharmacy reimbursement and …

A Report on Shortfalls in Medicaid Funding for Nursing Center Care …

Nursing Center Reimbursement Outlook for 2015 … information on the difference
between Medicaid reimbursement and allowable Medicaid costs in as …. in 2012,
due to timing and filing issues, rate increases covering a 15 month period of …


Jan 5, 2015 … Montana Medicaid Program Report to the 2015 Legislature, as is required …
Medicaid reimbursed over $1 billion dollars in 2013. ….. Upcoming Issue – One of
the upcoming issues facing all 1115 and 1915 (c) waivers is a new.

Obstetrical Services Policy (R0064) –

3/11/2015 … UnitedHealthcare Community Plan reimbursement policies uses
Current … Further, the policy does not address all issues related to
reimbursement for … policy applies to UnitedHealthcare Community Plan
Medicaid and Medicare.

The Effects of the Medicaid Expansion on State Budgets: An Early …

Mar 1, 2015 … As of March 2015, 29 states (including the District of Columbia) adopted ….. there
were some challenges and delays in transitioning behavioral health … eligible for
Medicaid reimbursement, both for the traditional Medicaid …

BUDGET AND POLICY BRIEF – New York City Comptroller –

A Review of Federal Medicaid Reimbursement to the New York … FY 2015
budget reflects downward Medicaid adjustments for fiscal years 2015 – 2018 of a
cumulative $310 million, the … DOE described the challenges of recouping


School Year 2014 – 2015 …. Section 1903(c) of the U. S. Code allows Medicaid
reimbursement for medically …. Issues Medicaid provider numbers to LEAs.

2015 Legislative Priorities – Wisconsin Personal Services Association

8% Increase for Medicaid Personal Care (MAPC) Fee-For Service Rates …
following issues with third-party vendors providing personal care assessments:.

iNursing Facility Medicaid Reimbursement & Funding – New Mexico …

Oct 21, 2014 … Reimbursement & Funding Issues … a The average Medicaid daily rates posted
on the state website … I Total State Request for FY 2015.

Fixed Offer or Competitive Bid? Choosing the Right Medicaid …

Milliman Medicaid Issues Briefing Paper. March 2015. Fixed offer or … The nuts
and bolts. Capitation rates paid to Medicaid managed care programs must.

Ensuring Integrity in New York State Medicaid, April 2015

These problems will persist until DOH improves or replaces eMedNY. …. From
January 2011 through February 2015, OSC issued 73 Medicaid audit reports ….
Generally, Medicaid pays inpatient claims using two reimbursement methods: …

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