Depending on the provider, some Medicare Part C members may experience stricter guidelines about what extra coverages can be ...

Long-Term Care Medicaid tends to be the most widely discussed Medicaid path in our area. This is because long-term care ...

Horatti, in his letter, stated that the SSLC exams play a key role in developing students’ focus, confidence, memory, and analytical skills.

The national coverage determination explicitly outlines patient, clinician, and facilities criteria for qualifying procedures ...

Charlotte-Mecklenburg Schools has officially adopted a policy for how the district will tap into artificial intelligence.

CMS today issued its final National Coverage Determination on renal denervation (RDN), a major win for Medtronic and Recor ...

What physicians need to know about the expanded carotid artery stenting coverage, including choice of therapy, shared ...

The marketing landscape in Medicare Advantage (MA) is facing a reckoning. If you're leading an agency, the message is clear: ...

For now, the most reasonable stance is watchful waiting: acknowledging the real problems WISeR seeks to address, recognizing ...

Michigan’s new bipartisan state budget will limit Medicaid coverage of a group of weight loss drugs whose use has exploded in popularity in recent years. GLP-1 receptor agonists like Wegovy, Saxenda ...

Title 1 Texas Administrative Code (TAC) Section 353.1155 states that an individual must be determined by the Texas Health and Human Services Commission (HHSC) to be financially eligible for Medicaid ...

Federalism and lack of government oversight is the root cause of waste and abuse in U.S. Medicaid programs, not undocumented immigrants.