Category Archives: Health Network Alert

Improving quality in long-term services and supports (LTSS) is vital for Medicaid beneficiaries relying upon such services, particularly given current proposals by many states to implement managed care programs to deliver LTSS. A new advocates’ guide provides information and recommendations …

On December 12, the Centers for Medicare and Medicaid Services (CMS) entered into a Memorandum of Understanding (MOU) with the Ohio Office of Medical Assistance to create an ‘Integrated Care Delivery System’ for dual eligibles (people eligible for Medicare and …

The new plan year for Medicare Part D began January 1 and many beneficiaries, particularly low-income subsidy individuals who were reassigned, are adjusting to new plans or to new rules in their current plans.

Starting January 1, 2013, state Medicaid programs are required to pay certain physicians offering primary care services at rates that are no lower than Medicare rates.

On Tuesday, January 1, 2013, by a vote of 257-167, the House of Representatives agreed to approve the Senate amendments to H.R. 8, the American Taxpayer Relief Act of 2012, also known as the “fiscal cliff deal.” The President agreed …

This new guide from the National Senior Citizens Law Center offers advocates a primer on the law that impacts Medicaid-funded HCBS. It also explains the different programs states can use to provide HCBS, including those created by the ACA. The guide highlights key resources and tools to use when advocating to expand and preserve Medicaid coverage of crucial LTSS services in individual states.

In addition to the release of the Massachusetts MOU on August 23, CMS and the Administration on Community Living announced a funding opportunity to support State Health Insurance Assistance Programs (SHIP) and Aging and Disability Resource Centers (ADRC) to provide options for counseling to dual eligibles in states that participate in the demonstration.