The information within this article, originally published on the PCG website in March 2019, was updated on April 14, 2022, to reflect program changes and new developments as a result of the Coronavirus Disease 2019 (COVID-19) public health emergency (PHE).

Public Consulting Group (PCG) is proud to announce its five-year recertification as a Quality Improvement Organization-like (QIO-like) entity by the Centers for Medicare and Medicaid Services (CMS). A QIO-like entity consists of health quality experts, clinicians, and consumers who work together to improve the quality of care delivered to Medicare and Medicaid beneficiaries.

On Friday, August 13, 2021, a panel of the D.C. Court of Appeals held that Medicare Advantage private insurers must return potentially billions of dollars in overpayments they receive based on incorrect diagnoses. 

The COVID-19 pandemic has made providing Medicaid services more challenging for human services agencies. For example, agencies are working hard to serve communities when physical locations are often required to close temporarily. During the pandemic, homes of service recipients can be significantly isolating as well, and individuals often need to move their residence to another location where others are available to accompany and care for them.