Medicaid health plans failing to pay hospices for nursing home room and board

Medicaid health plans failing to pay hospices for nursing home room and board 
Hospice News; by Jim Parker; 3/3/25 
... Medi-Cal, California’s Medicaid program, is among the states that shifted management of its safety net health coverage to health plans. Under this system, Medi-Cal pays the health plans who then pass payments on to the providers. However, due to confusion among managed care plans that oversee Medicaid in most states, those hospices are not getting those dollars back, according to Craig Dresang,  CEO of YoloCares. This has caused hospices to lose thousands to millions of dollars in some cases. “Managed health care plans are saying they’re denying the claims, and they’re tying them up so that they age out. So the due date has passed and we can no longer bill,” Dresang told Hospice News. [Click on the title's link to continue reading.]