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Book Medicaid Program   State Option to Establish Non Emergency Medical Transportation Program  Us Centers for Medicare and Medicaid Services Regulation   Cms   2018 Edition

Download or read book Medicaid Program State Option to Establish Non Emergency Medical Transportation Program Us Centers for Medicare and Medicaid Services Regulation Cms 2018 Edition written by The Law The Law Library and published by Createspace Independent Publishing Platform. This book was released on 2018-06-16 with total page 28 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicaid Program - State Option To Establish Non-Emergency Medical Transportation Program (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) The Law Library presents the complete text of the Medicaid Program - State Option To Establish Non-Emergency Medical Transportation Program (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition). Updated as of May 29, 2018 This final rule implements section 6083 of the Deficit Reduction Act of 2005, which provides States with additional State plan flexibility to establish a non-emergency medical transportation (NEMT) brokerage program, and to receive the Federal medical assistance percentage matching rate. This authority supplements the current authority that States have to provide NEMT to Medicaid beneficiaries who need access to medical care, but have no other means of transportation. This book contains: - The complete text of the Medicaid Program - State Option To Establish Non-Emergency Medical Transportation Program (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) - A table of contents with the page number of each section

Book The Medicare Handbook

Download or read book The Medicare Handbook written by and published by . This book was released on 1992 with total page 12 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book The CMS Hospital Conditions of Participation and Interpretive Guidelines

Download or read book The CMS Hospital Conditions of Participation and Interpretive Guidelines written by and published by . This book was released on 2017-11-27 with total page 546 pages. Available in PDF, EPUB and Kindle. Book excerpt: In addition to reprinting the PDF of the CMS CoPs and Interpretive Guidelines, we include key Survey and Certification memos that CMS has issued to announced changes to the emergency preparedness final rule, fire and smoke door annual testing requirements, survey team composition and investigation of complaints, infection control screenings, and legionella risk reduction.

Book Medicaid Program   Optional State Plan Case Management Services  Us Centers for Medicare and Medicaid Services Regulation   Cms   2018 Edition

Download or read book Medicaid Program Optional State Plan Case Management Services Us Centers for Medicare and Medicaid Services Regulation Cms 2018 Edition written by The Law The Law Library and published by Createspace Independent Publishing Platform. This book was released on 2018-06-16 with total page 40 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicaid Program - Optional State Plan Case Management Services (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) The Law Library presents the complete text of the Medicaid Program - Optional State Plan Case Management Services (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition). Updated as of May 29, 2018 This interim final rule with comment period revises current Medicaid regulations to incorporate changes made by section 6052 of the Deficit Reduction Act of 2005. In addition, it incorporates provisions of the Consolidated Omnibus Budget Reconciliation Act of 1985, the Omnibus Budget Reconciliation Act of 1986, the Tax Reform Act of 1986, the Omnibus Budget Reconciliation Act of 1987, and the Technical and Miscellaneous Revenue Act of 1988, concerning case management and targeted case management services. This interim final rule with comment period will provide for optional coverage of case management services or targeted case management services furnished according to section 1905(a)(19) and section 1915(g) of the Social Security Act. This interim final rule with comment period clarifies the situations in which Medicaid will pay for case management activities and also clarifies when payment will not be consistent with proper and efficient operation of the Medicaid program, and is not available. This book contains: - The complete text of the Medicaid Program - Optional State Plan Case Management Services (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) - A table of contents with the page number of each section

Book Medicaid Program   Self Directed Personal Assistance Services Program State Plan Option  Cash and Counseling   Us Centers for Medicare and Medicaid Services Regulation   Cms   2018 Edition

Download or read book Medicaid Program Self Directed Personal Assistance Services Program State Plan Option Cash and Counseling Us Centers for Medicare and Medicaid Services Regulation Cms 2018 Edition written by The Law The Law Library and published by Createspace Independent Publishing Platform. This book was released on 2018-06-16 with total page 72 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicaid Program - Self-Directed Personal Assistance Services Program State Plan Option (Cash and Counseling) (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) The Law Library presents the complete text of the Medicaid Program - Self-Directed Personal Assistance Services Program State Plan Option (Cash and Counseling) (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition). Updated as of May 29, 2018 This final rule provides guidance to States that want to administer self-directed personal assistance services through their State Plans, as authorized by the Deficit Reduction Act of 2005. The State plan option allows beneficiaries, through an approved self-directed services plan and budget, to purchase personal assistance services. The rule also provides guidance to ensure beneficiary health and welfare and financial accountability of the State Plan option. This book contains: - The complete text of the Medicaid Program - Self-Directed Personal Assistance Services Program State Plan Option (Cash and Counseling) (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) - A table of contents with the page number of each section

Book Nonemergency Medical Transportation

Download or read book Nonemergency Medical Transportation written by Carolyn L. Yocom and published by . This book was released on 2016-06-20 with total page 35 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare and Medicaid provide nonemergency medical transportation (NEMT) services to eligible beneficiaries who need transportation to scheduled nonemergency care. The Centers for Medicare & Medicaid Services (CMS) administers Medicare NEMT benefits and is responsible for overseeing Medicaid at the federal level. Spending on NEMT under these programs was $2.7 billion in 2013 -- $1.2 billion for Medicare and $1.5 billion for Medicaid. Increased demand for NEMT because of increased Medicaid enrollment has led states to seek ways to more efficiently operate NEMT. This report examines (1) key features of NEMT services under Medicare and Medicaid and how these services are delivered; (2) steps CMS has taken to oversee NEMT; and (3) the challenges in providing NEMT under Medicaid and steps that selected state medicaid agencies have taken to address them. Tables. This is a print on demand report.

Book Medicaid Program   Community First Choice Option  Us Centers for Medicare and Medicaid Services Regulation   Cms   2018 Edition

Download or read book Medicaid Program Community First Choice Option Us Centers for Medicare and Medicaid Services Regulation Cms 2018 Edition written by The Law The Law Library and published by Createspace Independent Publishing Platform. This book was released on 2018-06-16 with total page 154 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicaid Program - Community First Choice Option (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) The Law Library presents the complete text of the Medicaid Program - Community First Choice Option (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition). Updated as of May 29, 2018 This final rule implements section 2401 of the Affordable Care Act, which establishes a new State option to provide home and community-based attendant services and supports. These services and supports are known as Community First Choice (CFC). While this final rule sets forth the requirements for implementation of CFC, we are not finalizing the section concerning the CFC setting. This book contains: - The complete text of the Medicaid Program - Community First Choice Option (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) - A table of contents with the page number of each section

Book Medicaid Program   State Plan Home and Community Based Services  5 Year Period for Waivers  Etc   Us Centers for Medicare and Medicaid Services Regulation   Cms   2018 Edition

Download or read book Medicaid Program State Plan Home and Community Based Services 5 Year Period for Waivers Etc Us Centers for Medicare and Medicaid Services Regulation Cms 2018 Edition written by The Law The Law Library and published by Createspace Independent Publishing Platform. This book was released on 2018-06-16 with total page 192 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicaid Program - State Plan Home and Community-Based Services, 5-Year Period for Waivers, etc. (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) The Law Library presents the complete text of the Medicaid Program - State Plan Home and Community-Based Services, 5-Year Period for Waivers, etc. (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition). Updated as of May 29, 2018 This final rule amends the Medicaid regulations to define and describe state plan section 1915(i) home and community-based services (HCBS) under the Social Security Act (the Act) amended by the Affordable Care Act. This rule offers states new flexibilities in providing necessary and appropriate services to elderly and disabled populations. This rule describes Medicaid coverage of the optional state plan benefit to furnish home and community based-services and draw federal matching funds. This book contains: - The complete text of the Medicaid Program - State Plan Home and Community-Based Services, 5-Year Period for Waivers, etc. (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) - A table of contents with the page number of each section

Book Medicaid Program   Rescission of School Based Administration   Transportation Final Rule  Outpatient Hospital Services Final Rule  and Partial Rescis  Us Centers for Medicare and Medicaid Services Regulation   Cms   2018 Edition

Download or read book Medicaid Program Rescission of School Based Administration Transportation Final Rule Outpatient Hospital Services Final Rule and Partial Rescis Us Centers for Medicare and Medicaid Services Regulation Cms 2018 Edition written by The Law The Law Library and published by Createspace Independent Publishing Platform. This book was released on 2018-06-16 with total page 32 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicaid Program - Rescission of School-Based Administration - Transportation Final Rule, Outpatient Hospital Services Final Rule, and Partial Rescis (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) The Law Library presents the complete text of the Medicaid Program - Rescission of School-Based Administration - Transportation Final Rule, Outpatient Hospital Services Final Rule, and Partial Rescis (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition). Updated as of May 29, 2018 This rule finalizes our proposal to rescind the December 28, 2007 final rule entitled, "Elimination of Reimbursement under Medicaid for School Administration Expenditures and Costs Related to Transportation of School-Age Children Between Home and School;" the November 7, 2008 final rule entitled, "Clarification of Outpatient Hospital Facility (Including Outpatient Hospital Clinic) Services Definition;" and certain provisions of the December 4, 2007 interim final rule entitled, "Optional State Plan Case Management Services." These regulations have been the subject of Congressional moratoria and have not yet been implemented (or, with respect to the case management interim final rule, have only been partially implemented) by CMS. In light of concerns raised about the adverse effects that could result from these regulations, in particular, the potential restrictions on services available to beneficiaries and the lack of clear evidence demonstrating that the approaches taken in the regulations are warranted, CMS is rescinding the two final rules in full, and partially rescinding the interim final rule. Rescinding these provisions will permit further opportunity to determine the best approach to further the objectives of the Medicaid program in providing necessary health benefits coverage to needy individuals. This book contains: - The complete text of the Medicaid Program - Rescission of School-Based Administration - Transportation Final Rule, Outpatient Hospital Services Final Rule, and Partial Rescis (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) - A table of contents with the page number of each section

Book Medicaid Program   State Flexibility for Medicaid Benefit  Us Centers for Medicare and Medicaid Services Regulation   Cms   2018 Edition

Download or read book Medicaid Program State Flexibility for Medicaid Benefit Us Centers for Medicare and Medicaid Services Regulation Cms 2018 Edition written by The Law The Law Library and published by Createspace Independent Publishing Platform. This book was released on 2018-06-16 with total page 76 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicaid Program - State Flexibility for Medicaid Benefit (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) The Law Library presents the complete text of the Medicaid Program - State Flexibility for Medicaid Benefit (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition). Updated as of May 29, 2018 This rule revises the final rule published on December 3, 2008 to implement provisions of section 6044 of the Deficit Reduction Act of 2005, which amends the Social Security Act by adding a new section 1937 related to the coverage of medical assistance under approved State plans. That rule provides States increased flexibility under an approved State plan to define the scope of covered medical assistance by offering coverage of benchmark or benchmark-equivalent benefit packages to certain Medicaid-eligible individuals. In addition, this final rule responds to public comments on the February 22, 2008 proposed rule and comments received in response to rules published subsequently that delayed the effective date of the December 3, 2008 final rule until July 1, 2010. This book contains: - The complete text of the Medicaid Program - State Flexibility for Medicaid Benefit (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) - A table of contents with the page number of each section

Book Medicaid Program   Elimination of Reimbursement Under Medicaid for School Administration Expenditures  Us Centers for Medicare and Medicaid Services Regulation   Cms   2018 Edition

Download or read book Medicaid Program Elimination of Reimbursement Under Medicaid for School Administration Expenditures Us Centers for Medicare and Medicaid Services Regulation Cms 2018 Edition written by The Law The Law Library and published by Createspace Independent Publishing Platform. This book was released on 2018-06-16 with total page 34 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicaid Program - Elimination of Reimbursement Under Medicaid for School Administration Expenditures (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) The Law Library presents the complete text of the Medicaid Program - Elimination of Reimbursement Under Medicaid for School Administration Expenditures (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition). Updated as of May 29, 2018 Under the Medicaid program, Federal payment is available for the costs of administrative activities "as found necessary by the Secretary for the proper and efficient administration of the State plan." This final rule eliminates Federal Medicaid payment for the costs of certain school-based administrative and transportation activities because the Secretary has found that these activities are not necessary for the proper and efficient administration of the Medicaid State plan and are not within the definition of the optional transportation benefit. Based on these determinations, under this final rule, Federal Medicaid payments will no longer be available for administrative activities performed by school employees or contractors, or anyone under the control of a public or private educational institution, and for transportation from home to school. In addition, this final rule responds to public comments received on the September 7, 2007 proposed rule. This book contains: - The complete text of the Medicaid Program - Elimination of Reimbursement Under Medicaid for School Administration Expenditures (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) - A table of contents with the page number of each section

Book Nonemergency Medical Transportation

    Book Details:
  • Author : United States Government Accountability Office
  • Publisher : Createspace Independent Publishing Platform
  • Release : 2017-09-26
  • ISBN : 9781977542823
  • Pages : 36 pages

Download or read book Nonemergency Medical Transportation written by United States Government Accountability Office and published by Createspace Independent Publishing Platform. This book was released on 2017-09-26 with total page 36 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare and Medicaid provide NEMT services to eligible beneficiaries who need transportation to scheduled nonemergency care. CMS administers Medicare NEMT benefits and is responsible for overseeing Medicaid at the federal level. Spending on NEMT under these programs was $2.7 billion in 2013-$1.2 billion for Medicare and $1.5 billion for Medicaid. Increased demand for NEMT because of increased Medicaid enrollment has led states to seek ways to more efficiently operate NEMT. GAO was asked to review NEMT under Medicare and Medicaid. This report examines 1) key features of NEMT services under Medicare and Medicaid and how these services are delivered; 2) steps CMS has taken to oversee NEMT under Medicare as well as Medicaid; and 3) the challenges that exist in providing NEMT under Medicaid and steps that selected state Medicaid agencies have taken to address those challenges. GAO reviewed key documents and interviewed officials from CMS; 15 selected states that range in terms of Medicaid enrollment and geography; and stakeholders, including transportation brokers, health plans, and health care and transportation industry groups.

Book Medicaid Program   Cost Limit for Providers Operated by Units of Government and Provisions to Ensure the Integrity of Federal State Financial Partners  Us Centers for Medicare and Medicaid Services Regulation   Cms   2018 Edition

Download or read book Medicaid Program Cost Limit for Providers Operated by Units of Government and Provisions to Ensure the Integrity of Federal State Financial Partners Us Centers for Medicare and Medicaid Services Regulation Cms 2018 Edition written by The Law The Law Library and published by Createspace Independent Publishing Platform. This book was released on 2018-06-16 with total page 168 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicaid Program - Cost Limit for Providers Operated by Units of Government and Provisions To Ensure the Integrity of Federal-State Financial Partners (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) The Law Library presents the complete text of the Medicaid Program - Cost Limit for Providers Operated by Units of Government and Provisions To Ensure the Integrity of Federal-State Financial Partners (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition). Updated as of May 29, 2018 This regulation clarifies that entities involved in the financing of the non-Federal share of Medicaid payments must be a unit of government; clarifies the documentation required to support a Medicaid certified public expenditure; limits Medicaid reimbursement for health care providers that are operated by units of government to an amount that does not exceed the health care provider's cost of providing services to Medicaid individuals; requires all health care providers to receive and retain the full amount of total computable payments for services furnished under the approved Medicaid State plan; and makes conforming changes to provisions governing the State Child Health Insurance Program (SCHIP) to make the same requirements applicable, with the exception of the cost limit on reimbursement. This book contains: - The complete text of the Medicaid Program - Cost Limit for Providers Operated by Units of Government and Provisions To Ensure the Integrity of Federal-State Financial Partners (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) - A table of contents with the page number of each section

Book Medicaid Program   Prescription Drugs  Us Centers for Medicare and Medicaid Services Regulation   Cms   2018 Edition

Download or read book Medicaid Program Prescription Drugs Us Centers for Medicare and Medicaid Services Regulation Cms 2018 Edition written by The Law The Law Library and published by Createspace Independent Publishing Platform. This book was released on 2018-06-16 with total page 214 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicaid Program - Prescription Drugs (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) The Law Library presents the complete text of the Medicaid Program - Prescription Drugs (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition). Updated as of May 29, 2018 This final rule with comment period will implement the provisions of the Deficit Reduction Act of 2005 (DRA) pertaining to prescription drugs under the Medicaid Program. The DRA requires the Secretary of HHS to promulgate a final regulation no later than July 1, 2007. In addition, we are adding to existing regulations certain established Medicaid rebate policies that are currently set forth in CMS guidance. This rule will bring together existing and new regulatory requirements in one, cohesive subpart. This book contains: - The complete text of the Medicaid Program - Prescription Drugs (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) - A table of contents with the page number of each section

Book Medicaid Program   Methods for Assuring Access to Covered Medicaid Services Cms 2328 FC  Us Centers for Medicare and Medicaid Services Regulation   Cms   2018 Edition

Download or read book Medicaid Program Methods for Assuring Access to Covered Medicaid Services Cms 2328 FC Us Centers for Medicare and Medicaid Services Regulation Cms 2018 Edition written by The Law The Law Library and published by Createspace Independent Publishing Platform. This book was released on 2018-06-16 with total page 74 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicaid Program - Methods for Assuring Access to Covered Medicaid Services CMS-2328-FC (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) The Law Library presents the complete text of the Medicaid Program - Methods for Assuring Access to Covered Medicaid Services CMS-2328-FC (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition). Updated as of May 29, 2018 This final rule with comment period provides for a transparent data-driven process for states to document whether Medicaid payments are sufficient to enlist providers to assure beneficiary access to covered care and services consistent with section 1902(a)(30)(A) of the Social Security Act (the Act) and to address issues raised by that process. The final rule with comment period also recognizes electronic publication as an optional means of providing public notice of proposed changes in rates or ratesetting methodologies that the state intends to include in a Medicaid state plan amendment (SPA). We are providing an opportunity for comment on whether future adjustments would be warranted to the provisions setting forth requirements for ongoing state reviews of beneficiary access. This book contains: - The complete text of the Medicaid Program - Methods for Assuring Access to Covered Medicaid Services CMS-2328-FC (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) - A table of contents with the page number of each section

Book Medicaid Program   Use of New Or Increased Pass Through Payments in Medicaid Managed Care Delivery Systems  Us Centers for Medicare and Medicaid Services Regulation   Cms   2018 Edition

Download or read book Medicaid Program Use of New Or Increased Pass Through Payments in Medicaid Managed Care Delivery Systems Us Centers for Medicare and Medicaid Services Regulation Cms 2018 Edition written by The Law The Law Library and published by Createspace Independent Publishing Platform. This book was released on 2018-06-16 with total page 30 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicaid Program - Use of New or Increased Pass-Through Payments in Medicaid Managed Care Delivery Systems (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) The Law Library presents the complete text of the Medicaid Program - Use of New or Increased Pass-Through Payments in Medicaid Managed Care Delivery Systems (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition). Updated as of May 29, 2018 This rule finalizes changes to the pass-through payment transition periods and the maximum amount of pass-through payments permitted annually during the transition periods under Medicaid managed care contract(s) and rate certification(s). This final rule prevents increases in pass-through payments and the addition of new pass-through payments beyond those in place when the pass-through payment transition periods were established, in the final Medicaid managed care regulations effective July 5, 2016. This book contains: - The complete text of the Medicaid Program - Use of New or Increased Pass-Through Payments in Medicaid Managed Care Delivery Systems (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) - A table of contents with the page number of each section