The federal Centers for Medicare & Medicaid Services (CMS) could decide in a matter of weeks whether it will remove the work or activity requirement in Georgia’s partial Medicaid expansion plan.
The CMS said the plan, which was approved by former President Donald Trump’s administration in October, does not “promote the objectives of the Medicaid program” and would be impossible to accomplish because of the COVID-19 pandemic. Read More
The federal government approved Tennessee’s proposed Medicaid aggregate cap, granting a lump sum for a self-imposed, fixed budget. The ten-year agreement, referred to as “TennCare III,” is the first of its kind nationwide. It also allows for the state to reserve any unused funds and apply them to other government programs, with up to 55 percent of those savings potentially matched by additional federal funds for state health programs.
The Centers for Medicare and Medicaid Services (CMS) described the measure as an “innovative financing approach.” Unlike what various reports claimed, federal officials explicitly stated that this agreement wasn’t a block grant. This agreement allows the state government to be flexible with its spending cap under certain circumstances – like last year’s pandemic and related unemployment crisis. Read More
The House TennCare Subcommittee took on the controversial topic of the block grant proposal, hearing from key stakeholders in a two-hour summer study conducted last Thursday. Read More
by Bethany Blankley A final rule change has been implemented by the Trump administration to ensure that Medicaid providers receive complete payments as required by law. The Centers for Medicare & Medicaid Services (CMS) within the Department of Health and Human Services (HHS) released the Medicaid Provider Reassignment Regulation… Read More
By Richard McCarty The Centers for Medicare and Medicaid Services, a part of the U.S. Department of Health and Human Services, has proposed rolling back an Obama-Era regulation that allowed union dues to be deducted from Medicaid checks. If the proposed regulation takes effect, only deductions specifically allowed by law,… Read More
Former Republican Congressional candidate Dr. George Flinn, who wrote President Trump asking him to instruct the Centers for Medicare and Medicaid (CMS) to amend the Obama-era regulation that were used against a beloved West Tennessee family physician, released a statement on Tuesday that he was “glad to play a small… Read More
Federal officials have restored Medicare billing privileges to Dr. Bryan Merrick, whose McKenzie Medical Center is located in the small West Tennessee city of McKenzie. The Tennessee Star led the way in reporting on the story of the well respected West Tennessee family practice doctor whose Medicare billing privileges were revoked in… Read More
Dr. Bryan Merrick and his attorney Roy Herron met in Baltimore on Thursday with top federal officials at the Centers for Medicare and Medicaid Services (CMS), the part of the Department of Health and Human Services responsible for administering the Medicare program, to make the case for the reinstatement of… Read More
The mayor of McKenzie, Tennessee asked Senator Lamar Alexander (R-TN) to hold Senate hearings on the abuse of Medicare billing revocations by the Centers for Medicare and Medicaid Services [CMS] in a letter sent on Wednesday. Writing “on behalf of the citizens of Northwest Tennessee,” Mayor Jill Holland asked Alexander,… Read More
A West Tennessee doctor has lost his Medicare reimbursement privileges over $670 in billing errors, and the consequences are devastating for his practice and the rural community he serves. “After an unblemished 31-year career in medicine a local doctor is faced with accusations of Medicare billing fraud. On April 16,… Read More