Starting May 1, many people covered by Medicaid in Nebraska have to prove they are working. It's a requirement most states ...

When CMS announced its proposed quality measures for Medicaid home- and community-based services (HCBS) for 2028, I was a ...

Objective: To examine the association between a health insurance plan offering a grocery assistance benefit to members with ...

The OBBBA’s community engagement requirements will have a significant impact on the eligibility determination process. So will Constitutional due process safeguards. For over a half century, the US ...

As allegations of widespread hospice fraud in Los Angeles County continue to intensify, one physician has faced scrutiny after being tied to Medicare claims for thousands of patients across dozens of ...

AND ARE THEY LEGIT? CONSUMER INVESTIGATOR BRIAN ROCHE HAS THE ANSWER, SO IT’S NOT UNUSUAL FOR CMS, THE CENTERS FOR MEDICARE AND MEDICAID SERVICES TO SEND PEOPLE NEW CARDS WITHOUT TELLING THEM WHY. BUT ...

No matter which type of Medicare you carry — Original or Medicare Advantage — you may find yourself dealing with a preapproval or service denial. Claims can be denied for a variety of reasons, ...

One of the first things you want to do is get your doctor involved in the appeals process. Even if your first appeal fails, don't give up. There are places you can turn to for help with your appeal.

So long, fax machines -- we hardly knew ye. "The 1980s called, and they want their fax machines back," Mehmet Oz, MD, MBA, administrator of CMS, said in a press release announcing a final rule from ...

See more of our trusted coverage when you search. Prefer Newsweek on Google to see more of our trusted coverage when you search. The Centers for Medicare & Medicaid Services (CMS) has finalized a ...