The Centers for Medicare & Medicaid Services today issued a proposed rule that would eliminate 2014 regulatory text allowing states to reassign Medicaid payments to third parties on behalf of certain providers, primarily independent in-home personal care workers, for benefits customary for employees. “We are concerned that these provisions are overbroad, and insufficiently linked to the exceptions [to direct payment] expressly permitted by statute,” CMS said. The agency does not formally track the amount of reimbursement reassigned to third parties by states, but estimates that “unions may currently collect as much as $71 million from such assignments.” The proposed rule will be published in the July 12 Federal Register with comments accepted for 30 days.

Related News Articles

Headline
The Department of Health and Human Services aims to release proposed rules amending the physician self-referral (Stark law) regulations and safe-harbors under…
Headline
The Department of Health and Human Services Office for Civil Rights today published in the Federal Register its final rule concerning federal health care-…
Headline
The Government Accountability Office yesterday named two new members to the Medicaid and CHIP Payment and Access Commission.
Headline
Despite some progress in transparency related to the process for Section 1115 Medicaid waivers, the Centers for Medicare…
Perspective
When the many vulnerable members of society need care, they often turn to their local hospital or health system.
Headline
The Centers for Medicare…