Medicaid Related Topics 
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. By Carrie Dorn, MPA, LMSW. NASW Senior Practice Associate.
CAPC
OCTOBER 12, 2022
At minimum, palliative care is cost neutral while improving quality of life. News Bites Payment and Program Financing
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CAPC
JUNE 29, 2022
CAPC and the National Coalition for Hospice and Palliative Care share actionable recommendations with CMMI staff and model participants. News Bites Policy
CAPC
JANUARY 11, 2022
Letter defines real opportunities to improve quality of care for Black patients with serious illness through CMMI payment models. News Bites Payment and Program Financing
CAPC
OCTOBER 21, 2022
Study shows an increase in palliative care usage amongst people living with stage IV cancer. News Bites
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. Posted December 17, 2021. Two adults are interacting with an older person.
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.
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.
Social Work Blog
DECEMBER 21, 2021
Medicare, Medicaid, TRICARE, Indian Health Service or the Veterans Affairs health system). Find Centers for Medicare and Medicaid Services (CMS) resources , including templates that can be used to prepare good faith estimates and model language for informing patients of their rights to GFE.
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. Posted January 28, 2022.
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. A blog post written by NASW Senior Practice Associate Denise Johnson, CMS Creates Additional Place of Service Code for Telehealth , clarifies what POS codes clinical social workers should use when providing telehealth services.
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. You may mail written comments to the following address: Centers for Medicare & Medicaid Services, Department of Health and Human Services, Attention: CMS-1770-P, P.O.
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.”
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. June 2022. The purpose of this blog is to clarify what POS codes clinical social workers should use when providing telehealth services. POS codes are used on health insurance claim forms to indicate where patient services are rendered.
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.
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. By Mel Wilson, LCSW, MBA.
MQ Mental Health
MARCH 2, 2022
“Let’s take on mental health. Especially among our children whose lives and education have been turned upside-down.”. At President Biden’s first State of the Union address to congress last night he addressed many important topics, including a commitment to better mental health for the nation.
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. Attention Clinical Social Workers: CMS Seeking Feedback on Good Faith Estimates.
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.
Relias
JANUARY 16, 2023
The Centers for Medicare and Medicaid Services (CMS) will expand its enforcement actions against poorly-performing facilities. From the growth of home-based care and telehealth to regulation changes, post-acute care leaders need to be aware of this year’s industry trends.
Relias
JANUARY 23, 2023
Research cited in our study showed that screening occurred in less than two-thirds of mothers, with considerable variation depending on race, income-level, and Medicaid/Medicare status.
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.
Social Work Blog
NOVEMBER 10, 2022
Open Enrollment for the health insurance marketplace is November 1 to January 15, 2023. For coverage to begin on January 1 , enrollment must be completed by midnight on December 15.
Social Work Blog
MARCH 2, 2022
When 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. By Mel Wilson.
Relias
AUGUST 15, 2022
Centers for Medicare and Medicaid Services (CMS) proposes a decrease in Medicare reimbursement for home health agencies by 4.2% The U.S. next year. CMS estimates that this move would decrease reimbursements by about $810 million compared to 2022 projected reimbursements.
Bipolar Bandit
SEPTEMBER 3, 2021
The states primarily funded these hospitals through taxes until the Medicaid program was created in 1965. What inspired you to write the book, Breakdown: A Clinician’s Experience in a Broken System of Emergency Psychiatry , that got published in October of 2018? .
Stop Abuse Campaign
JANUARY 19, 2022
MHCs and CSWs often work in community mental health clinics, which are more likely to accept a wider variety of insurance, including Medicaid. . ← How to Choose a Therapist: Tips and Fits.
Beyond Advocacy
APRIL 13, 2022
According to the Peterson Foundation, federal spending on children in 2020 amounted to seven percent of the federal budget compared to 33 percent for adults 18 years and older through Social Security, Medicare, and Medicaid.
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. ← Thoughts on suicide prevention from a survivor.
Social Work Blog
DECEMBER 21, 2021
Medicare, Medicaid, TRICARE, Indian Health Service or the Veterans Affairs health system). Application to Clinical Social Work Services.
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.
Stop Abuse Campaign
JULY 15, 2022
In traditional foster care, a trained stranger raises the baby with some monitoring from the local Child Protective Services and financial supports such as SNAP (food stamps), Medicaid, and a cash per diem. ← Incest the Unforgivable.
Stop Abuse Campaign
JULY 22, 2022
78 percent of participating adults and children relied on Medicaid or CHIP. . ← How you can save babies whose mothers have substance use disorders. “ A young mom met her home visitor when she was 16 and pregnant.
Relias
APRIL 6, 2022
CMS will be tasked with holding nursing homes accountable for the care they provide their residents and terminating underperforming facilities from Medicare or Medicaid programs.
Relias
AUGUST 29, 2022
The Commonwealth Fund reported that organizations are already gearing up to request additional federal funding for supplemental coverage for Medicaid patients to help alleviate the impact on low-income patients, people of color, and other underserved populations and help them get the care they need.
Relias
OCTOBER 25, 2021
There’s a new opportunity for occupational therapists practicing in home health settings. OTs working in home health can initiate the start of care in more situations beginning in 2022 under changes to the Medicare conditions of participation (CoPs).
Social Work Blog
APRIL 18, 2022
The Centers for Medicare and Medicaid Services (CMS) has released clarifying information about Part 2 of the No Surprise Act, Good Faith Estimates (GFEs). April 18, 2022.
Relias
MAY 1, 2022
Because the Centers for Medicare and Medicaid Services will not reimburse healthcare organizations for costs associated with hospital- or facility-acquired pressure injuries, appropriate assessment at the time of admission is vital.
Relias
OCTOBER 10, 2022
Recently, the Centers for Medicare and Medicaid Services’ (CMS) Special Focus Facility Program report listed nursing homes that have not met the CMS’ health care or fire safety standards. Federal and state agencies’ routine surveys of healthcare organizations can be stressful.
Hospice Social Work
JULY 13, 2018
When I heard from a nursing home social worker that a recently admitted patient neither qualified for Medicaid nor received enough income to pay privately, I called the patient care manager for our team in that area and described the situation.
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