Medicare, Medicaid, and Children's Health Insurance Programs - Additional Screening Requirements, Application Fees, Temporary Enrollment Moratoria (Us Inspector General Office, Health and Human Services Department Regulation) (Hhsig) (2018 Edition)
Medicare, Medicaid, and Children's Health Insurance Programs - Additional Screening Requirements, Application Fees, Temporary Enrollment Moratoria (Us Inspector General Office, Health and Human Services Department Regulation) (Hhsig) (2018 Edition)

Author: The Law The Law Library

Publisher: Createspace Independent Publishing Platform

Published: 2018-11-09

Total Pages: 230

ISBN-13: 9781729716670

DOWNLOAD EBOOK

Medicare, Medicaid, and Children's Health Insurance Programs - Additional Screening Requirements, Application Fees, Temporary Enrollment Moratoria (US Inspector General Office, Health and Human Services Department Regulation) (HHSIG) (2018 Edition) The Law Library presents the complete text of the Medicare, Medicaid, and Children's Health Insurance Programs - Additional Screening Requirements, Application Fees, Temporary Enrollment Moratoria (US Inspector General Office, Health and Human Services Department Regulation) (HHSIG) (2018 Edition). Updated as of May 29, 2018 This final rule with comment period will implement provisions of the ACA that establish: Procedures under which screening is conducted for providers of medical or other services and suppliers in the Medicare program, providers in the Medicaid program, and providers in the Children's Health Insurance Program (CHIP); an application fee imposed on institutional providers and suppliers; temporary moratoria that may be imposed if necessary to prevent or combat fraud, waste, and abuse under the Medicare and Medicaid programs, and CHIP; guidance for States regarding termination of providers from Medicaid and CHIP if terminated by Medicare or another Medicaid State plan or CHIP; guidance regarding the termination of providers and suppliers from Medicare if terminated by a Medicaid State agency; and requirements for suspension of payments pending credible allegations of fraud in the Medicare and Medicaid programs. This final rule with comment period also discusses our earlier solicitation of comments regarding provisions of the ACA that require providers of medical or other items or services or suppliers within a particular industry sector or category to establish compliance programs. This book contains: - The complete text of the Medicare, Medicaid, and Children's Health Insurance Programs - Additional Screening Requirements, Application Fees, Temporary Enrollment Moratoria (US Inspector General Office, Health and Human Services Department Regulation) (HHSIG) (2018 Edition) - A table of contents with the page number of each section

Medicare, Medicaid, and Children's Health Insurance Programs - Additional Screening Requirements, Application Fees (Us Centers for Medicare and Medicaid Services Regulation) (Cms) (2018 Edition)
Medicare, Medicaid, and Children's Health Insurance Programs - Additional Screening Requirements, Application Fees (Us Centers for Medicare and Medicaid Services Regulation) (Cms) (2018 Edition)

Author: The Law The Law Library

Publisher: Createspace Independent Publishing Platform

Published: 2018-07-05

Total Pages: 230

ISBN-13: 9781722466428

DOWNLOAD EBOOK

Medicare, Medicaid, and Children's Health Insurance Programs - Additional Screening Requirements, Application Fees (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) The Law Library presents the complete text of the Medicare, Medicaid, and Children's Health Insurance Programs - Additional Screening Requirements, Application Fees (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition). Updated as of May 29, 2018 This final rule with comment period will implement provisions of the ACA that establish: Procedures under which screening is conducted for providers of medical or other services and suppliers in the Medicare program, providers in the Medicaid program, and providers in the Children's Health Insurance Program (CHIP); an application fee imposed on institutional providers and suppliers; temporary moratoria that may be imposed if necessary to prevent or combat fraud, waste, and abuse under the Medicare and Medicaid programs, and CHIP; guidance for States regarding termination of providers from Medicaid and CHIP if terminated by Medicare or another Medicaid State plan or CHIP; guidance regarding the termination of providers and suppliers from Medicare if terminated by a Medicaid State agency; and requirements for suspension of payments pending credible allegations of fraud in the Medicare and Medicaid programs. This final rule with comment period also discusses our earlier solicitation of comments regarding provisions of the ACA that require providers of medical or other items or services or suppliers within a particular industry sector or category to establish compliance programs. This book contains: - The complete text of the Medicare, Medicaid, and Children's Health Insurance Programs - Additional Screening Requirements, Application Fees (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) - A table of contents with the page number of each section

Medicaid
Medicaid

Author: United States. General Accounting Office

Publisher:

Published: 2001

Total Pages: 44

ISBN-13:

DOWNLOAD EBOOK

Medicaid Program and Childrens Health Insurance Program - Revisions to the Medicaid Eligibility Quality Control and Payment Error Rate Measurement (Us Centers for Medicare and Medicaid Services Regulation) (Cms) (2018 Edition)
Medicaid Program and Childrens Health Insurance Program - Revisions to the Medicaid Eligibility Quality Control and Payment Error Rate Measurement (Us Centers for Medicare and Medicaid Services Regulation) (Cms) (2018 Edition)

Author: The Law The Law Library

Publisher: Createspace Independent Publishing Platform

Published: 2018-06-16

Total Pages: 86

ISBN-13: 9781721533817

DOWNLOAD EBOOK

Medicaid Program and Childrens Health Insurance Program - Revisions to the Medicaid Eligibility Quality Control and Payment Error Rate Measurement (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) The Law Library presents the complete text of the Medicaid Program and Childrens Health Insurance Program - Revisions to the Medicaid Eligibility Quality Control and Payment Error Rate Measurement (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition). Updated as of May 29, 2018 This final rule implements provisions from the Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA) (Pub. L. 111-3) with regard to the Medicaid Eligibility Quality Control (MEQC) and Payment Error Rate Measurement (PERM) programs. This final rule also codifies several procedural aspects of the process for estimating improper payments in Medicaid and the Children's Health Insurance Program (CHIP). This book contains: - The complete text of the Medicaid Program and Childrens Health Insurance Program - Revisions to the Medicaid Eligibility Quality Control and Payment Error Rate Measurement (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) - A table of contents with the page number of each section

Medicare and Medicaid Programs - Changes in Provider and Supplier Enrollment, Ordering and Referring, and Documentation Requirements, Etc. (Us Centers for Medicare and Medicaid Services Regulation) (Cms) (2018 Edition)
Medicare and Medicaid Programs - Changes in Provider and Supplier Enrollment, Ordering and Referring, and Documentation Requirements, Etc. (Us Centers for Medicare and Medicaid Services Regulation) (Cms) (2018 Edition)

Author: The Law The Law Library

Publisher: Createspace Independent Publishing Platform

Published: 2018-07-05

Total Pages: 32

ISBN-13: 9781722458553

DOWNLOAD EBOOK

Medicare and Medicaid Programs - Changes in Provider and Supplier Enrollment, Ordering and Referring, and Documentation Requirements, etc. (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) The Law Library presents the complete text of the Medicare and Medicaid Programs - Changes in Provider and Supplier Enrollment, Ordering and Referring, and Documentation Requirements, etc. (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition). Updated as of May 29, 2018 This interim final rule with comment period implements several provisions set forth in the Patient Protection and Affordable Care Act (Affordable Care Act). It implements the provision which requires all providers of medical or other items or services and suppliers that qualify for a National Provider Identifier (NPI) to include their NPI on all applications to enroll in the Medicare and Medicaid programs and on all claims for payment submitted under the Medicare and Medicaid programs. This interim final rule with comment period also requires physicians and eligible professionals to order and refer covered items and services for Medicare beneficiaries to be enrolled in Medicare. In addition, it adds requirements for providers, physicians, and other suppliers participating in the Medicare program to provide documentation on referrals to programs at high risk of waste and abuse, to include durable medical equipment, prosthetics, orthotics and supplies (DMEPOS), home health services, and other items or services specified by the Secretary. This book contains: - The complete text of the Medicare and Medicaid Programs - Changes in Provider and Supplier Enrollment, Ordering and Referring, and Documentation Requirements, etc. (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) - A table of contents with the page number of each section

Medicaid and Children's Health Insurance Programs - Essential Health Benefits in Alternative Benefit Plans, Eligibility Notices, Fair Hearing (Us Department of Health and Human Services Regulation) (Hhs) (2018 Edition)
Medicaid and Children's Health Insurance Programs - Essential Health Benefits in Alternative Benefit Plans, Eligibility Notices, Fair Hearing (Us Department of Health and Human Services Regulation) (Hhs) (2018 Edition)

Author: The Law The Law Library

Publisher: Createspace Independent Publishing Platform

Published: 2018-11-09

Total Pages: 338

ISBN-13: 9781729716311

DOWNLOAD EBOOK

Medicaid and Children's Health Insurance Programs - Essential Health Benefits in Alternative Benefit Plans, Eligibility Notices, Fair Hearing (US Department of Health and Human Services Regulation) (HHS) (2018 Edition) The Law Library presents the complete text of the Medicaid and Children's Health Insurance Programs - Essential Health Benefits in Alternative Benefit Plans, Eligibility Notices, Fair Hearing (US Department of Health and Human Services Regulation) (HHS) (2018 Edition). Updated as of May 29, 2018 This final rule implements provisions of the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 (collectively referred to as the Affordable Care Act. This final rule finalizes new Medicaid eligibility provisions; finalizes changes related to electronic Medicaid and the Children's Health Insurance Program (CHIP) eligibility notices and delegation of appeals; modernizes and streamlines existing Medicaid eligibility rules; revises CHIP rules relating to the substitution of coverage to improve the coordination of CHIP coverage with other coverage; and amends requirements for benchmark and benchmark-equivalent benefit packages consistent with sections 1937 of the Social Security Act (which we refer to as "alternative benefit plans") to ensure that these benefit packages include essential health benefits and meet certain other minimum standards. This rule also implements specific provisions including those related to authorized representatives, notices, and verification of eligibility for qualifying coverage in an eligible employer-sponsored plan for Affordable Insurance Exchanges. This rule also updates and simplifies the complex Medicaid premium and cost sharing requirements, to promote the most effective use of services, and to assist states in identifying cost sharing flexibilities. It includes transition policies for 2014 as applicable. This book contains: - The complete text of the Medicaid and Children's Health Insurance Programs - Essential Health Benefits in Alternative Benefit Plans, Eligibility Notices, Fair Hearing (US Department of Health and Human Services Regulation) (HHS) (2018 Edition) - A table of contents with the page number of each section

Medicaid and Children's Health Insurance Program (Chip) Programs - Medicaid Managed Care, Chip Delivered in Managed Care (Us Centers for Medicare and Medicaid Services Regulation) (Cms) (2018 Edition)
Medicaid and Children's Health Insurance Program (Chip) Programs - Medicaid Managed Care, Chip Delivered in Managed Care (Us Centers for Medicare and Medicaid Services Regulation) (Cms) (2018 Edition)

Author: The Law The Law Library

Publisher: Createspace Independent Publishing Platform

Published: 2018-06-16

Total Pages: 742

ISBN-13: 9781721535354

DOWNLOAD EBOOK

Medicaid and Children's Health Insurance Program (CHIP) Programs - Medicaid Managed Care, CHIP Delivered in Managed Care (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) The Law Library presents the complete text of the Medicaid and Children's Health Insurance Program (CHIP) Programs - Medicaid Managed Care, CHIP Delivered in Managed Care (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition). Updated as of May 29, 2018 This final rule modernizes the Medicaid managed care regulations to reflect changes in the usage of managed care delivery systems. The final rule aligns, where feasible, many of the rules governing Medicaid managed care with those of other major sources of coverage, including coverage through Qualified Health Plans and Medicare Advantage plans; implements statutory provisions; strengthens actuarial soundness payment provisions to promote the accountability of Medicaid managed care program rates; and promotes the quality of care and strengthens efforts to reform delivery systems that serve Medicaid and CHIP beneficiaries. It also ensures appropriate beneficiary protections and enhances policies related to program integrity. This final rule also implements provisions of the Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA) and addresses third party liability for trauma codes. This book contains: - The complete text of the Medicaid and Children's Health Insurance Program (CHIP) Programs - Medicaid Managed Care, CHIP Delivered in Managed Care (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) - A table of contents with the page number of each section

Medicaid - Chip Program - Medicaid Program and Children's Health Insurance Program - Changes to Medicaid Eligibility Quality Control and Payment Error (Us Centers for Medicare and Medicaid Services Regulation) (Cms) (2018 Edition)
Medicaid - Chip Program - Medicaid Program and Children's Health Insurance Program - Changes to Medicaid Eligibility Quality Control and Payment Error (Us Centers for Medicare and Medicaid Services Regulation) (Cms) (2018 Edition)

Author: The Law The Law Library

Publisher: Createspace Independent Publishing Platform

Published: 2018-06-16

Total Pages: 72

ISBN-13: 9781721523290

DOWNLOAD EBOOK

Medicaid - CHIP Program - Medicaid Program and Children's Health Insurance Program - Changes to Medicaid Eligibility Quality Control and Payment Error (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) The Law Library presents the complete text of the Medicaid - CHIP Program - Medicaid Program and Children's Health Insurance Program - Changes to Medicaid Eligibility Quality Control and Payment Error (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition). Updated as of May 29, 2018 This final rule updates the Medicaid Eligibility Quality Control (MEQC) and Payment Error Rate Measurement (PERM) programs based on the changes to Medicaid and the Children's Health Insurance Program (CHIP) eligibility under the Patient Protection and Affordable Care Act. This rule also implements various other improvements to the PERM program. This book contains: - The complete text of the Medicaid - CHIP Program - Medicaid Program and Children's Health Insurance Program - Changes to Medicaid Eligibility Quality Control and Payment Error (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) - A table of contents with the page number of each section