Reports Highlight Improper Payment Issues in Medicare, Medicaid
A new Government Accountability Office report finds that Medicare and Medicaid accounted for $62.2 billion out of the total $105 billion in improper payments the federal government made in 2013. Meanwhile, a separate report from the Senate Special Committee on Aging shows that improper Medicare payments increased from 8.5% in 2012 to 10.1% in 2013. The Hill et al.
CMS Tells Calif., Other States To Fix Medicaid Application Backlog
Last month, CMS sent a letter to officials in six states, including California, giving them until Monday to submit detailed plans to CMS on how they will resolve a backlog of Medicaid applications. California has a backlog of about 600,000 applications. Kaiser Health News' "Capsules."
CMS Guidance Says Autism Therapy Covered as Medicaid Benefit for Kids
Long-sought federal guidance has finally been issued on coverage of autism therapy as a Medicaid benefit -- and advocacy groups say it's good news for children on Medi-Cal in California.
Medi-Cal Backlog Down to 600K, DHCS Official Says
California Department of Health Care Services spokesperson Anthony Cava last week said that the number of Medi-Cal applications awaiting verification has fallen from 900,000 to 600,000 -- about a 33% reduction since May. The update came after the Health Consumer Alliance sent a letter to DHCS on Wednesday detailing concerns about the backlog. Los Angeles Times' "L.A. Now."
Lawsuit Slams the State's Duals Project
A just-filed lawsuit in Superior Court asks that the dual eligibles demonstration project be paused long enough to fix several "failures," including a form that offers no clear choice to opt out.
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