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10 de may. de 2024 · This report provides the Centers for Medicare & Medicaid Services (CMS) with a summary of the results of our previous OIG reports and identifies potential issues that, if addressed, could bring about significant reductions in costs to the Medicaid program as a result of renewed efforts to collect rebates for physician-administered drugs.
20 de may. de 2024 · Dana Trandahl enters District Court on Thursday morning in Butte, where she pleaded not guilty to 15 felony charges related to Medicaid fraud. Dana Trandahl, a Butte mental health counselor ...
9 de may. de 2024 · The Consolidated Appropriations Act, 2023, delinked the end of the FFCRA’s Medicaid continuous enrollment condition from the end of the COVID-19 Public Health Emergency. As a result, the Medicaid continuous enrollment condition will end on March 31, 2023. States will soon resume normal operations, including restarting full Medicaid and CHIP ...
9 de may. de 2024 · It is true that the Medicaid look-back period was initially three years in most states. The CMS reported on the new regulations, effective February 2006, after the passing of the Deficit Reduction Act of 2005. The DRA brought about several changes to the Medicaid look-back period. California, which still abides by its 30-month look-back period ...
20 de may. de 2024 · Medicaid Expansion Comes With Massive Fraud. North Carolina’s already overextended Medicaid program is expanding rapidly, courtesy of the legislature’s decision to expand it last year. Nearly 450,000 people have signed up in just five months since the program opened up to the expansion population. Total enrollment in the state’s Medicaid ...
23 de may. de 2024 · The HHS-OIG Strategic Plan for Oversight of Managed Care for Medicare and Medicaid has three goals: Promote access to care for people enrolled in managed care. Provide comprehensive financial oversight. Promote data accuracy and encourage data-driven decisions. OIG developed the managed care life cycle to guide oversight and enforcement work.
