CMS proposes hospital funding offer to assist Florida budget conflict

In a May 21, 2015 letter to the Florida Agency for Health Care Administration regarding Low Income Pool (LIP) funding, the Centers for Medicare & Medicaid Services (CMS) stated, “We have preliminarily concluded that 2015-16 funding should be at approximately $1 billion, consistent with the funding level for LIP prior to 2014, to maintain stability while the system transitions. Funding in subsequent years at a more sustainable and appropriate level to cover the state’s remaining uncompensated care costs would be approximately $600 million.” [More]

Senate Finance Committee Holds Hearing On Reducing Congregate Care

On May 19, 2015 the Senate Finance Committee Chair, Orin Hatch (R-UT) held a hearing to address concerns about the number of children living and growing up in congregate care. Sen. Hatch has demonstrated interest in recent years in the need for children to live with families and not in group or congregate settings. He previously introduced legislation (S.B. 1518) that called for the elimination of Title IV-E reimbursement for foster children in congregate care settings. [More]

PCG TC Awarded IV&V for WA L&I LINIIS Project

PCG recently kicked off an independent verification and validation (IV&V) engagement for the Washington State Department of Labor & Industries (L&I) Integrated Information System (LINIIS) project. L&I is implementing a 5-step process to modernize its 30-year-old workers’ compensation computer system, this being Step 1 in the process. Step 1 will include the migration of its mainframe system to a more contemporary technology architecture (windows environment). [More]

Supreme Court Declines to Review Stay-Put Appeal

On May 18, 2015, the U.S. Supreme Court declined to review a federal appellate court’s interpretation of the so-called “stay-put” provision of the Individuals with Disabilities Education Act (IDEA). Under IDEA regulations, a child eligible for special education is allowed to remain (stay put) in his/her current educational placement pending administrative or judicial due process proceedings when the child’s ongoing placement is in dispute. Under the stay-put provision, when the child is placed in a private school, the public school district remains obligated to pay for the child’s private school tuition while the due process proceedings are pending. [More]

GAO Evaluates Federal HCBS Programs

The U.S. Government Accountability Office (GAO) released a report on May 20, 2015 entitled, “Federal Strategy Needed to Help Ensure Efficient and Effective Delivery of Home and Community-Based Services and Supports.” The report evaluates a wide range of programs within the U.S. Department of Health and Human Services (HHS), including the Administration on Aging (AOA), Administration for Community Living (ACL), and the Centers for Medicare and Medicaid Services (CMS), as well as programs within the U.S. Department of Housing and Urban Development (HUD), Transportation (DOT), and Agriculture (USDA). [More]

RWJF Report Estimates 20 States Could Lose $720 Billion in Federal Health Funds Over Ten Years

The Robert Wood Johnson Foundation (RWJF) issued a report on May 18, 2015 estimating that 5,623,000 persons in 20 states that have declined to implement state-based health insurance Exchanges under the Affordable Care Act (ACA) may become uninsured in 2016 if the U.S. Supreme Court rules that advance premium tax credits (APTCs) and cost-sharing reductions (CSRs) are only available through state-based Exchanges, not federally-facilitated Exchanges. A ruling in King v. Burwell on that question is expected by June 30, 2015. [More]

GAO Report Finds HHS 1115 Waiver Program Lacks Transparency

On Wednesday, May 13, 2015, the Government Accountability Office (GAO) issued a report which concluded that the waiver process for Section 1115 of the Social Security Act, which gives the U.S. Department of Health and Human Services (HHS) authority to approve experimental, pilot, or demonstration projects that promote the objectives of the Medicaid and CHIP programs, “lacks transparency.” [More]