— CMS “could take a variety of steps to make audits less burdensome, healthcare providers stated in white papers submitted to members of the Senate Finance Committee. The committee released a report Thursday, summarizing stakeholders’ input and recommendations for improving the audit process.” – McKnight’s
— CMS “has revised the provider certification manual for hospitals, giving more in-depth guidelines around discharge planning. The goal is for hospitals to reduce readmissions by partnering with post-acute providers.” – McKnight’s
— “The majority of mental health services — such as medication management and counseling — are already provided to Medicaid recipients through managed care. SB 58, authored by Sen. Jane Nelson, R-Flower Mound, would require Medicaid health plans to also provide targeted case management and psychiatric rehabilitation services for mental or substance abuse disorders.” – Texas Tribune
— Medicaid providers would have clearer due process rights during fraud investigations under a measure the House gave tentative approval to on Wednesday. The bill would also codify the state’s rules for withholding payments to providers during such investigations…Senate Bill 1803, authored by Sen. Joan Huffman, R-Houston, would codify the state’s rules for implementing a payment hold and allow some Medicaid providers to appeal to district court a decision by an administrative judge.” – Texas Tribune
