The Centers for Medicare & Medicaid Services have announced a temporary moratorium on the enrollment of new home health provider enrollments in Medicare, Medicaid and the Children’s Health Insurance Program (CHIP) in fraud “hot spot” areas of the country. The goal of the temporary moratorium is to fight fraud and safeguard taxpayer dollars, while ensuring patient access to care. Authority to impose such moratoria was included in the Affordable Care Act, and CMS is exercising this authority for the first time. (more…)
Posts Tagged ‘Children’s Health Insurance Program’
Building on strong anti-fraud efforts already underway, Centers for Medicare & Medicaid Services’ Administrator Marilyn Tavenner today announced temporary moratoria on the enrollment of new home health provider and ambulance supplier enrollments in Medicare, Medicaid and the Children’s Health Insurance Program (CHIP) in three fraud “hot spot” areas of the country, including two Florida counties. The goal of the temporary moratoria is to fight fraud and safeguard taxpayer dollars, while ensuring patient access to care. Authority to impose such moratoria was included in the Affordable Care Act, and CMS is exercising this authority for the first time.
Under the moratoria, existing providers and suppliers can continue to deliver and bill for services, but no new provider and supplier applications will be approved in these areas for all three programs. The temporary enrollment moratoria apply to newly-enrolling home health agencies in the Miami and Chicago metropolitan areas; and newly-enrolling ground ambulance suppliers in the Houston metropolitan area (see list of affected counties below). CMS announced the temporary, six-month moratoria in a notice issued today in the Federal Register. (more…)
On May 15, the Center for Medicare & Medicaid Innovation (CMMI) at the Centers for Medicare & Medicaid Services (CMS) announced that it will be awarding up to $900 million in new funding for a second round of Health Care Innovation Awards. These awards will be made to applicants who propose new payment and service delivery models that have high likelihood of improving care and reducing costs for Medicare, Medicaid and Children’s Health Insurance Program (CHIP) beneficiaries, with a strong focus on Medicaid and CHIP populations.
The second round of awards will build on an earlier round of funding awarded in 2012. The first round of Innovation Awards supports 107 models, ranging from $1 million to $26.5 million over a three year period. This round included a wide range of models, including models that enhance primary care, coordinate care across multiple settings, deploy new types of health care workers, help patients and providers make better decisions, and test new service delivery technologies. (more…)
1. Accountable Care Organizations in Medicare – Allows providers organized as accountable care organizations (ACOs) that voluntarily meet quality thresholds to share in the cost savings they achieve for the Medicare program.
2. Reduced Medicare Payments for Hospital Readmissions – Reduces Medicare payments that would otherwise be made to hospitals to account for excess (preventable) hospital readmissions. (more…)
The Center for Medicaid and CHIP Services (CMCS) is pleased to announce the initial launch of Medicaid.gov, the first Federal government website devoted to the policies — and the people — of Medicaid and the Children’s Health Insurance Program (CHIP). (more…)