New Jersey to Provide Palliative Care Benefits Under Medicaid
CAPC
DECEMBER 11, 2023
If legislation passes, people living with serious illness in New Jersey will be able to access palliative care paid for by Medicaid.
Medicaid Related Topics 
Change Healthcare Cyberattack: What Social Workers Should Know
Social Work Blog
MARCH 27, 2024
1] The Centers for Medicare & Medicaid Services (CMS) issued a statement and is actively monitoring the impact of the cyberattack on Change Healthcare and how it affects various providers and suppliers. CMS is also urging Medicaid plans to make prospective payments to those affected.
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Centers for Medicare and Medicaid Services Launches Value-Based Care Spotlight
CAPC
JANUARY 31, 2024
New CMS website provides overview information and ideas for clinicians about value-based models.
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MACPAC Supports Study of Ensuring Health Care Access for Youth in the Child Welfare System
University of Connecticut
MARCH 12, 2024
Mathematica and Innovations Institute have partnered to advance policymakers’ understanding of how Medicaid and child welfare agencies ensure youth in the child welfare system receive access to health care.
CMS Updates 2024 Medicare Physician Fee Schedule Conversion Factor
CAPC
MARCH 26, 2024
The Centers for Medicare & Medicaid Services (CMS) updated the 2024 Medicare physician fee schedule conversion factor in response to the Consolidated Appropriation Act being signed into law.
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Medicare Terminating the Hospice Component of the Value-Based Insurance Design (VBID) Model
CAPC
MARCH 5, 2024
Poor utilization of palliative care and other benefits contributed to Medicaid's decision to terminate the hospice component of the value-based insurance design (VBID) model.
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Hospice chaplain documentation webinar
Hospice Chaplaincy
SEPTEMBER 6, 2023
centers for Medicare & Medicaid Services (CMS) is […] This webinar will be on Monday September 25th at 10:00am Central Standard Time. The registration fee is only $45.The The most scrutinized area for hospices by the U.S.
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New Actuarial Analysis Estimates Medicaid Palliative Care Return on Investment
CAPC
OCTOBER 12, 2022
At minimum, palliative care is cost neutral while improving quality of life.
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Embedding Palliative Care in State Health Reform Initiatives
CAPC
MARCH 28, 2023
New brief from NASHP highlights how states are using existing models and Medicaid authorities to advance palliative care access.
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Serious Illness Recommendations to the Center for Medicare and Medicaid Innovation
CAPC
JUNE 29, 2022
CAPC and the National Coalition for Hospice and Palliative Care share actionable recommendations with CMMI staff and model participants.
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CMS Creates Additional Place of Service Code for Telehealth
Social Work Blog
SEPTEMBER 16, 2022
Following a recent update from the Centers for Medicare and Medicaid Services (CMS), NASW has received multiple inquiries regarding telehealth place of service codes (POS) for Medicare, Medicaid and private health insurance companies.
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The Center for Medicare and Medicaid Innovation (CMMI) releases a Dementia Model
CAPC
JULY 31, 2023
The GUIDE Model focuses support on family caregivers.
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Calendar Year (CY) 2023 Proposed Rule for Medicare Physician Fee Schedule
Social Work Blog
AUGUST 12, 2022
On July 7, 2022, the Centers for Medicare and Medicaid Services (CMS) released the proposed rule of the Physician Fee Schedule that announced proposed policy and practice changes for Medicare Part B payments beginning January 1, 2023. Box 8016, Baltimore, MD 21244-8016. By express or overnight mail.
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National Report Addresses Nursing Home Quality & Promotes Value of Social Work
Social Work Blog
APRIL 22, 2022
submission of comments to the Centers for Medicare & Medicaid Services in response to its Request for Information on Revising the Requirements for Long-Term Care Facilities to Establish Mandatory Minimum Staffing Levels.
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CMS Updates Guidance for Nursing Home Visitation During the COVID-19 Pandemic
Social Work Blog
DECEMBER 17, 2021
Recognizing the physical and emotional toll of these visitation restrictions, the Centers for Medicare & Medicaid Services (CMS) recently updated its guidance to nursing homes regarding visitation during COVID-19.
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Social Workers: The Backbone of Reimagined 988 Emergency Crisis Services
Social Work Blog
MARCH 2, 2022
W hen the National 988 Suicide Prevention Crisis Hotline goes into effect July 16, 2022, it will probably be the most significant public policy initiative impacting behavioral healthcare since the Medicaid expansion. That said, there are those who feel that the states still have a lot to do to be ready for the July 2022 start of 988.
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CAPC Shares Equity Findings and Recommendations with the Center for Medicare and Medicaid Innovation (CMMI)
CAPC
JANUARY 11, 2022
Letter defines real opportunities to improve quality of care for Black patients with serious illness through CMMI payment models.
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CMS Releases New Guidance for the End of the PHE
CAPC
MARCH 13, 2023
New Fact Sheet from the Centers for Medicare and Medicaid Services (CMS) Helps Providers Plan for the End of Public Health Emergency
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CMS Creates Additional Place of Service Code for Telehealth
Social Work Blog
JUNE 1, 2022
Following a recent update from the Center for Medicare, and Medicaid Services (CMS), NASW has received multiple inquiries regarding telehealth place of service codes (POS) for Medicare, Medicaid, and private health insurance companies.
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Person-Centered Care
Famcare
MARCH 29, 2023
Providers feel pressure to document primarily for billing purposes and must submit notes within 24 hours for Medicaid reimbursement. Case notes are kept confidential even from the patients themselves. There is little time allotted for consulting with patients to illicit their input on their treatment plan.
Medicaid Expansion and Palliative Care Use Among Patients Newly Diagnosed with Advanced Cancer
CAPC
OCTOBER 21, 2022
Study shows an increase in palliative care usage amongst people living with stage IV cancer.
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Youth Mental Health Crisis Worsening
Beyond Advocacy
MAY 2, 2023
Most are insured through Medicaid, which excludes a wide range of mental health treatments such as art therapy, music therapy, yoga therapy, and equine therapy, readily available to higher-income households. Medicaid generally limits treatment to talk therapy, which simply does not work for many experiencing foster care.
14 Years of Obamacare: The ACA’s Impact on Social Determinants of Health and Social Workers’ Role
Social Work Blog
MARCH 20, 2024
have expanded Medicaid to provide health insurance coverage and health care access to more individuals and families than ever before. Enrollment in ACA plans has reached high levels since its implementation, with more than 21 million Americans gaining coverage through the health insurance marketplace during Open Enrollment for 2024.
NCCPR news and commentary round-up, week ending December 19, 2023
NCCPR Child Welfare Blog
DECEMBER 19, 2023
According to a Boston Globe investigation : … in the vast majority of states, the deaths of babies from Medicaid families are more likely to be attributed to suspected accidental suffocation or listed as needing more investigation - and in some states, by sizable margins.
Update: Nursing Home Visitation During the COVID-19 Pandemic
Social Work Blog
FEBRUARY 10, 2022
On November 12, 2021, the Centers for Medicare & Medicaid Services (CMS) released updated guidance to Medicare- and Medicaid-certified long-term care (LTC) facilities (commonly known as nursing homes) regarding visitation during the COVID-19 pandemic. November 12 Guidance. Social Work Role in Reducing COVID-19 Transmission.
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Behind the Poor Pay and High Turnover Rates of Direct Support Professionals
Relias
OCTOBER 6, 2021
The State of Medicaid Programs and the Need for Grassroots Advocacy. Commercial insurance and private pay revenue sources rarely cover services for people with IDD, leaving Medicaid as essentially the sole payer for these services.
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Update: CMS Guidance for Nursing Home Visitation During the COVID-19 Pandemic
Social Work Blog
JANUARY 28, 2022
On November 12, 2021, the Centers for Medicare & Medicaid Services (CMS) released updated guidance to Medicare- and Medicaid-certified long-term care (LTC) facilities (commonly known as nursing homes) regarding visitation during the COVID-19 pandemic. November 12 Guidance. Social Work Role in Reducing COVID-19 Transmission.
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Writing Letters for Gender-Affirming Healthcare
University of Connecticut
MARCH 5, 2024
receive up to date information about specific guidelines for clients with Husky/CT Medicaid insurance in accessing gender-affirming healthcare. learn tips for advocacy with insurance companies in navigating denials for gender-affirming surgeries.
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40 The Center for Medicare and Medicaid Innovation Releases Its New Strategy
CAPC
OCTOBER 21, 2021
New strategy notes palliative care across models.
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Planning for Medicaid Unwinding in 2023
Social Work Blog
DECEMBER 19, 2022
When the COVID-19 PHE ends, which is expected in 2023, state agencies will begin the “unwinding” of continuous Medicaid and Children’s Health Insurance Program (CHIP) by going through the redetermination process for all enrollees. Unwinding refers to the return to normal operations for Medicaid and CHIP agencies after the COVID-19 PHE ends.
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CMS Seeks Feedback on Good Faith Estimates
Social Work Blog
NOVEMBER 4, 2022
The Center for Medicare and Medicaid Services (CMS) is seeking feedback from clinical social workers and other providers about how they should provide estimates for costs of services for patients who use their insurance to pay for health and mental health services.
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CMS 2023 Home Health Final Rule: What Agencies Need To Know
Relias
FEBRUARY 2, 2023
The 2023 Home Health Final Payment Rule , which the Centers for Medicare and Medicaid Services (CMS) released in October, increases Medicare payments for home health agencies by 0.7%, or $125 million, compared to 2022. While this seems like a treat, William A.
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News Items – May 4, 2023
Social Workers Speak
MAY 4, 2023
Brian Mares is government relations director for NASW-TX: When it comes to upping mental health services, Texas has a Medicaid problem Texas Tribune Bryan Mares, government relations director for the Texas chapter of the National Association of Social Workers , cited the Medicaid payment rate for counseling sessions as a main sticking point.
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NCCPR news and commentary round-up, week ending January 25, 2022
NCCPR Child Welfare Blog
JANUARY 26, 2023
Expand Medicaid: Less “neglect.” ● The Imprint has a good round-up of research documenting the confusion of poverty with neglect. Raise the minimum wage and you reduce what family policing agencies call “neglect.” Increase SNAP benefits: Less “neglect.” Expand the Earned Income Tax Credit: Less “neglect.”
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Home Health Agencies Face Financial Burden of Proposed CMS Payment Cut
Relias
AUGUST 15, 2022
Centers for Medicare and Medicaid Services (CMS) proposes a decrease in Medicare reimbursement for home health agencies by 4.2% CMS is proposing a requirement for agencies to submit OASIS data for all patients, regardless of payer, and not just for Medicare or Medicaid patients, beginning in 2025. Mandatory Telehealth Reporting.
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News Items – May 4, 2023
Social Workers Speak
MAY 4, 2023
Brian Mares is government relations director for NASW-TX: When it comes to upping mental health services, Texas has a Medicaid problem Texas Tribune Bryan Mares, government relations director for the Texas chapter of the National Association of Social Workers , cited the Medicaid payment rate for counseling sessions as a main sticking point.
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What You Need To Know About Value-Based Payment Models
Relias
JANUARY 11, 2023
But momentum will continue, since the Centers for Medicare and Medicaid Services (CMS) announced in 2021 that it plans to transition fully to value-based reimbursement by 2030. By 2005, the Centers for Medicare and Medicaid Services (CMS) began piloting value-based care programs that linked payment to quality measures.
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Native American Healthcare Disparities: Challenges and Solutions
Relias
NOVEMBER 9, 2023
of citizens identifying as American Indian or Alaska Native relied on Medicaid or other public health insurance, and 14.9% on Medicaid or public health insurance and only 6.3% Department of Health and Human Services Office of Minority Health (OMH) reported that 42.1% had no coverage at all. with 34.3%
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Title V and Maternal Mortality: Federal Funding to Save Lives
Relias
MARCH 29, 2024
Expanding Medicaid coverage and access to comprehensive and continuous health care for individuals before, during, and after pregnancy, especially for low-income and uninsured patients who face higher risks of poor maternal outcomes.
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Home Health CoPs Update: New Opportunities for OTs
Relias
OCTOBER 25, 2021
Taking advantage of the changed rules will allow home health agencies to more efficiently use the first visit, which has positive implications for clinical outcomes and the agency’s bottom line, observed Karen Vance, BSOT, discussing the CoP update in a recent Relias webinar.
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7 Steps To Prevent Pressure Sores
Relias
APRIL 28, 2023
The Centers for Medicare and Medicaid Services (CMS) requires all health facilities in the Medicare program to track and report data reflecting pressure injury development on all clients. Repeated pressure exposure on the same area will result in the degradation of the skin’s integrity, literally opening the skin up to infection.
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Does Anyone Care? Shocking Barriers Killing Our Mental Health
Stop Abuse Campaign
MAY 16, 2022
If your needs are less urgent, you may qualify for Medicaid to get mental health help. Medicaid can help you receive mental health care at a low cost if your income is below certain state limits. This resource is entirely free (Helpadvisor 2021). .
Understanding the PEPPER Can Reduce Home Health and Skilled Nursing Audit Risks
Relias
DECEMBER 8, 2022
Every year, the Centers for Medicare and Medicaid Services (CMS) releases the Program for Evaluating Payment Patterns Electronic Report (PEPPER). We all love free tools that help our organizations perform better. But there is a particular educational tool that tends to fall under the radar of many healthcare organizations.
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Guest Post: Interview with Author of Breakdown: A Clinician’s Experience in a Broken System of Emergency Psychiatry
Bipolar Bandit
SEPTEMBER 3, 2021
The states primarily funded these hospitals through taxes until the Medicaid program was created in 1965. The IMD Exclusion must be repealed because it is the main reason that inpatient psychiatric hospitals have eliminated so many beds. In the 1950s, state hospitals provided respite and asylum for the mentally ill population.
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