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All posts tagged with “Regulatory News | Medicaid.”
NJ extends Medicaid palliative care for poor and elderly
12/09/23 at 04:00 AMNJ extends Medicaid palliative care for poor and elderlyNJ Spotlight NewsDecember 7, 2023New Jersey plans to expand health insurance coverage so that low-income residents with a serious advanced illness can get pain relief and other palliative care at home, regardless of their prognosis, or if they live independently, in a nursing home or assisted living. The state Assembly is expected to take a final vote Thursday on bipartisan legislation that adds community-based palliative care—including specialized medical treatment, emotional and spiritual support and other services to improve patients’ quality of life—to the list of benefits Medicaid will pay for in New Jersey.
New Mexico’s Medicaid Rate Hike Bodes Well For Addus, Other Home-Based Care Providers
12/09/23 at 04:00 AMNew Mexico’s Medicaid Rate Hike Bodes Well For Addus, Other Home-Based Care ProvidersHome Health Care NewsDecember 7, 2023New Mexico is increasing its reimbursement rates for providers that bill Medicaid in the state. Overall, providers are set to get an additional $409 million in reimbursement. The increases will start taking shape on claims made on or after July 1, 2023. Another rate hike is expected in the future for CY 2025. “Thanks to this substantial funding boost, Medicaid providers across New Mexico will now receive reimbursements at rates as high as 120% of Medicare,” Lorelei Kellogg, the acting director for the New Mexico Medicaid program, said in a press release. “By elevating rates, New Mexico Medicaid continues to work toward the goal of ensuring that all New Mexicans enrolled in the program have access to vital health care services.”
UnitedHealth hit with Medicare Advantage marketing complaint
12/09/23 at 04:00 AMUnitedHealth hit with Medicare Advantage marketing complaintModern HealthcareDecember 7, 2023Advocates for people with disabilities are calling on regulators [to] halt what they describe as misleading Medicare Advantage marketing by UnitedHealth Group. The Center for Medicare Advocacy, National Health Law Program, Disability Rights Connecticut and National Disability Rights Network wrote the Centers for Medicare and Medicaid Services, the Federal Trade Commission and other state and federal officials Thursday to protest UnitedHealthcare advertisements for Dual Eligible Special Needs Plans appearing in Connecticut. The ads target people with both Medicare and Medicaid and spotlight extra benefits from Medicare Advantage plans that state and federal laws already require, the groups wrote. “Unquestionably, this misleading advertising is intended to induce, and has induced, thousands if not tens of thousands of older adults and disabled low-income individuals we are charged with representing to sign up for UnitedHealthcare’s plan, having been led to believe this means they can get extra benefits,” the letter says. UnitedHealth Group did not immediately respond to an interview request.