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Revision of Performance Standards for State Medicaid Fraud Control Units

On , in Documents, by AQ-IQ LLC

This notice sets forth OIG guidance regarding standards OIG will apply in assessing the performance of State Medicaid Fraud Control Units (MFCU or Unit). These standards replace and supersede standards published on September 26, 1994 (59 FR 49080). OIG will apply these standards in certifying and recertifying each Unit and to determine if a Unit […]

Aging and Disability Resource Center Program

On , in Industry News, by AQ-IQ LLC

HHS announced a new $25 million funding opportunity to help states strengthen and expand their ability to help seniors and people with disabilities access home and community-based long-term services and supports.  Over the next one to three years, funding will support Aging and Disability Resource Centers (ADRCs) in nearly every state. Each year, more seniors, […]

Proposed Rule for Medicaid Primary Care and the Children’s Vaccination Program

On , in Industry News, by AQ-IQ LLC

CMS ha issued a proposed rule which provides increased payments for certain Medicaid primary care services.  Under this provision, certain physicians that provide eligible primary care services would be paid the Medicare rates in effect in calendar years (CY) 2013 and 2014 (or if greater, the Medicare rate in effect in 2009) instead of their […]

Community First Choice Final Rule and Independence At Home Demonstration Program Announced

On , in Industry News, by AQ-IQ LLC

New opportunities that will allow people to more easily receive care and services in their communities rather than being admitted to a hospital or nursing home were announced by HHS, who also finalized the Community First Choice rule, which is a new state plan option under Medicaid, and announced the participants in the Independence At […]

Proposed Rule for IPPS and LTCH Announced

On , in Industry News, by AQ-IQ LLC

CMS today issued a proposed rule that would update Medicare payment policies and rates for inpatient stays to general acute care hospitals paid under the Inpatient Prospective Payment System (IPPS) and long-term care hospitals (LTCHs) paid under the LTCH Prospective Payment System (PPS). This proposed rule is a continuation of our efforts to promote improvements […]