Weekly Medicaid Update

Apr 19, 2023 | Medicaid

CT: Allows reimbursement for services on Mobile Narcotic Treatment Vehicles LA: Approves mobile app to allow Medicaid members easier access to medical records RI: House approves bill making school psychological services eligible for reimbursement WI: Will begin to impose penalties on providers that do not meet EVV requirements Click to read more. 

Managed Care Friday

Apr 14, 2023 | Managed Care Friday

20: The percent of current prior authorization requirements United announced it will roll back beginning in the third quarter of this year. Beginning in early 2024, the insurer will also implement a Gold Card program for eligible provider groups that would eliminate prior authorization for many procedures.  Keep in mind that for some services, like pain management, even if the health plan doesn’t require pre-approval they likely still have coverage criteria and step therapy rules to follow. In Prison: Ventura County of California is finally opening a mental health unit at the Todd Road Jail...

CMS FY2024 Proposed Rule for SNFs

Apr 13, 2023 | Medicare, Post-Acute Care, Skilled Nursing Facilities (SNF)

CMS Proposes a 3.7% Update to Skilled Nursing Facility (SNF) Payments. SNF payments will increase by $1.2B. The market basket update of 6.1% includes a one-time, 3.6% correction for a previous forecast error. The payment update also factors in a -2.3% budget neutrality adjustment, the second of a two-year BNA phase-in totaling -4.6%. Click to read more.