Inside CMS - 11/28/2019

CMS Plans Reg Overhaul Of Medicaid Eligibility In Light Of Improper Pay

By Michelle M. Stein / November 22, 2019 at 12:57 PM
CMS is planning an overhaul of Medicaid eligibility regulations after the national improper pay estimates for the program hit 14.9% for fiscal 2019, and the agency is developing a proposed rule focused on insufficient recordkeeping, eligibility verification, redeterminations and compliance with eligibility requirements when beneficiaries’ circumstances change. But an analyst at the liberal-leaning Center on Budget and Policy Priorities says such changes would mean more people who should be eligible for Medicaid would lose coverage. The agency on Monday (Nov...

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