RegulationsLaw(Jurisprudence)ReportingRequirementsState administrators believe that Medicaid is a well-run program, but that federal requirements do not always recognize state concerns and efforts to ensure the efficiency and fiscal integrity of program operations. This project is based on discussions ...
Medicaid Regulationsmeans, collectively, (i) all federal statutes (whether set forth in Title XIX of the Social Security Act or elsewhere) affecting the medical assistance program established by Title XIX of the Social Security Act and any statutes succeeding thereto; (ii) all applicable provisions...
Medicaid Receivablemeans any Receivablewith respect towhich the Obligor is a stateGovernmental Authority(or agent thereof) obligatedto pay,pursuant to applicableMedicaid,public assistanceor publicwelfare programstatutes and regulations, promulgated pursuant toTitle XIXof theSocial Security Actand applicablestate...
Reports on the United States Courts of Appeals ruling to withhold benefits from pregnant women who do not comply with Medicaid regulations. Medicaid requirements for pregnant women; Impact of the decision on the health care industry; Potential enactment of remedial measures to the Medicaid statutes in...
Relationship of Medicaid/SCHIP Demonstration Waivers to Other Statutes.Section 1115 waiver projects may interact with other program rules outside of the Social Security Act; for example, employer-sponsored health insurance as described by the Employee Retirement Income Security Act (ERISA), or alien el...
6. All references to federal or state statutes, regulations or rules in this section shall be to the version of those statutes, regulations or rules that existed on January 1, 2019. ——– (Adopted August 4, 2020) Yesterday, from theMissouri Supreme Court: ...
Memorial Hospital of Iowa County, Inc., is a provider of medical services under the Medicare program. It is entitled to reimbursement to the extent statutes and regulations provide. Because it takes a long time to gather final accounting data and apply the complex regulations, the statute permits...
The Social Security Amendments of1965(the “Amendments”) are the milestone laws that established the U.S. Medicare and Medicaid programs (Pub. L. No. 89–97). Collectively, these federal statutes have four major provisions: (1) a hospital insurance program for qualifying adults aged 65 and...
The lawsuit claims violations of consumer protection statutes in several states, violations of the New York General Business Law, violations of the New Jersey Consumer Fraud Act, breach of contract, breach of good faith and fair dealing, breach of express warranty, unjust enrichment and negligent ...
An Act establishing an Office of the Medicaid Inspector General, supplementing Title 30 of the Revised Statutes, amending P.L.1999, c.162, and making an ap... States that choose to participate may do so by amending their state Medicaid plans, and there is no explicit deadline for this de...