CMS publishes 2020-2021 Medicaid Managed Care Rate Development Guide

Today, the Centers for Medicare & Medicaid Services (CMS) released the 2020-2021 Medicaid Managed Care Rate Development Guide for use by states in setting their capitation rates between July 1, 2020 and June 30, 2021 for managed care programs subject to the actuarial soundness requirements. This guide includes information that states must include in their rate certifications to ensure that CMS can determine compliance with the applicable provisions in federal statute.

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California nursing homes got insider access to Newsom’s health care regulators. Here’s how

By Jason Pohl and Ryan Sabalow, The Sacramento Bee, July 2 2020 On April 9, California nursing homes were already in a state of crisis. Employees were staying home, fearing for their safety without proper protection. Facilities reported deaths daily. At 12:30 p.m. that day, the chief advocate for California’s nursing home industry dispatched an email to officials at the California Department of Public Health. The email listed seven urgent concerns facing nursing homes, including child care and housing for workers.

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Chronic understaffing, face masks locked away, sexual assault: Shocking allegations against Orinda care home with COVID-19 outbreak

By Nate Gartrell and Annie Sciacca, Bay Area News Group, July 2 2020  ORINDA, CA – APRIL 3: A doctor walks to the Orinda Care Center nursing facility, where at least 27 people have tested positive for COVID-19, in Orinda, Calif., on Friday, April 3, 2020. (Doug Duran/Bay Area News Group) ORINDA — In an ongoing investigation into Orinda Care Center authorities have found evidence of “chronic” understaffing, “insufficient” amounts of personal protective equipment, like face masks, and a sexual assault against a patient with dementia that was never reported to police, according to the investigator’s reports.

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CMS Liberalizes Visitation to Nursing Homes. . . A Little

Courtesy of the Center for Medicare Advocacy The Centers for Medicare & Medicaid Services (CMS) recently revised its guidance on visitations to nursing facilities during the COVID-19 pandemic via seven Frequently Asked Questions.[1] CMS is authorizing additional, more flexible guidance on visitation, while reiterating the need for screening, social distancing, hand hygiene, and face coverings during all visits.

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