CMS Issues Guidance on Medicaid DSH Auditing and Reporting Requirements

 

The Centers for Medicare & Medicaid Services (CMS) issued guidance on auditing and reporting requirements for Medicaid Disproportionate Share Hospital (DSH) payments, which are intended to bring transparency to the use of DSH funds. The guidance, issued on April 4, 2014, is entitled, “Additional Information of the DSH Reporting and Audit Requirements-Part 2.” In the December 19, 2008 Federal Register, CMS issued a final rule establishing new requirements to implement a provision of the Medicare Prescription Drug, Improvement, and Modernization Act. That final rule included a transition period related to audit findings for Medicaid state plan rate years (SPRYs) 2005 through 2010. CMS has stated that this new additional guidance “is designed to ensure proper implementation, consistent practice, and protection for states and hospitals as we approach the end of the regulatory transition period”. [More]

 

New York Wins CMS Approval of Medicaid Redesign Plans

 

The Centers for Medicare and Medicaid Services (CMS) notified the New York Department of Health on April 14, 2014 that CMS has approved New York’s plans to redesign its Medicaid program under section 1115 demonstration waivers. New York’s plans include completing work begun by Governor Andrew Cuomo’s Medicaid Redesign Team (MRT), which developed 79 recommendations after extensive state-wide stakeholder input. The CMS letter officially approves amendments to a current section 1115 demonstration running through December 31, 2014 and establishes parameters for a subsequent, five year renewal period. The CMS letter authorizes $8 billion in Federal Medicaid funding for innovative programs, within a global Medicaid cap, in three major categories. [More]

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Categories:Health and Human Services

 

PCG Acquires Hubbert Systems Consulting

 

Boston, MA, April 14, 2014 – Public Consulting Group (PCG) today announced it has acquired Hubbert Systems Consulting (HSC), a management consulting firm that provides strategic and operational consulting services founded on the integration of people, process, and technology for clients in the health and human services sectors. Terms of the transaction were not disclosed. Founded in 1991 and based in Sacramento, CA, HSC specializes in helping state and local health care organizations address the complex technology, organizational, and regulatory intersections of large scale public programs. [More]

 

Focus On Results: Sign Up Now For The 2014 Summer Institute

 

Focus On Results' Summer Institute 2014 will be held at The Westin Long Beach on July 16th, 17th and 18th for school and district leaders who seek concrete strategies to strengthen leadership, improve instruction and drive student achievement results, including strategies to lead the Common Core. [More]

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Categories:Education

 

Covered California Reports QHP Enrollment Surge in March

 

Covered California, the nation’s largest health insurance Exchange, released enrollment data on April 3, 2014 showing that enrollments in qualified health plans (QHPs) offered through the Exchange surged to 1,221,727 on March 31, 2014, the last day of the six month open enrollment period (versus 868,936 that had been reported through February 28); on the last day, a record number of 117,421 application accounts were set up on the Exchange. [More]

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Categories:Health and Human Services

 

CMS Report Shows February Growth in Medicaid/CHIP Enrollment

 

The Centers for Medicare and Medicaid Services (CMS) released on April 4, 2014 a report showing that 25 states which implemented Medicaid expansion under the Affordable Care Act (ACA) by February 2014 saw on average an 8.3 percent increase in Medicaid/CHIP enrollment for February 2014, as compared to those states’ average monthly enrollments in a July – September 2013 baseline period. The largest percentage increases were in Oregon (34.8 percent), West Virginia (33.5 percent), Vermont (32.3 percent), Nevada (21.7 percent), and Maryland (20.8 percent). The ACA created as of January 1, 2014 a new Medicaid eligibility category of non-disabled, childless adults with incomes up to 133 percent of the Federal poverty level, but exact data are not yet available from CMS on how many January – February 2014 enrollees are in that new ACA category. [More]

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Categories:Health and Human Services

 

ED Releases Framework for Family-School Partnerships

 

On April 8, 2014, the U.S. Department of Education (ED) released The Dual Capacity Building Framework for Family-School Partnerships (Framework). The Framework explores challenges and opportunities for local education agencies (LEA) to partner with students’ parents/families to develop shared responsibility for student outcomes. [More]

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President Obama Signs H.R. 4302

 

On April 2, President Obama signed into law H.R. 4302, the “Protecting Access to Medicare Act of 2014,” which averts a 24 percent reduction in Medicare Part B physician payment rates until at least March 31, 2015. As in many prior years, Congress set aside Medicare payment reform proposals that would have repealed the “sustainable growth rate” (SGR) formula (in Medicare law since 1997) but postponed for another year the payment reductions that the SGR formula would have imposed. Instead, physician payment rates will increase 0.5 percent as a result of the new legislation. H.R. 4302 also postpones from October 1, 2014 to October 1, 2015 the date upon which the Centers for Medicare and Medicaid Services (CMS) can require health care providers and health plans to transition from ICD-9-CM to ICD-10-CM coding on claims, a five-fold increase in diagnostic coding specificity. [More]

 

New Hampshire Agrees to Medicaid Expansion Plan under ACA

 

On March 26, 2014, New Hampshire Governor Maggie Hassan signed Senate Bill 413 into law, joining 25 other states in expanding Medicaid eligibility under the Affordable Care Act (ACA). The New Hampshire law will provide health insurance to 50,000 low-income adults in a 2 ½-year pilot program paid for with federal Medicaid funding. [More]

 

PISA 2012 Assesses Students’ Problem-Solving Skills

 

On April 1, 2014, the Organization for Economic Cooperation and Development (OECD) released the results of its 2012 Program for International Student Assessment (PISA) focused on the creative problem-solving skills of 15-year-old students around the world. The PISA 2012 assessment was administered by computer to approximately 85,000 students in 44 countries and economies. U.S. students performed slightly above average with a score of 508. Students in the seven participating Asian countries or economies scored higher than all other participants, with Singapore students earning the highest score of 562. [More]

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