Search

Comstar, LLC HIPAA Resolution Agreement and Corrective Action Plan

The US Department of Health and Human Services (HHS) has entered into a resolution agreement with Comstar, LLC, a business associate under HIPAA. Comstar will pay $75,000 and comply with a corrective action plan to resolve alleged violations of HIPAA's Privacy, Security, and Breach Notification Rules following a ransomware attack affecting 585,621 individuals.

Minnesota Medicaid SPA 25-0036: MAT Services Recovery Peers

The Centers for Medicare & Medicaid Services (CMS) approved Minnesota's State Plan Amendment (SPA) 25-0036, effective October 1, 2025. This amendment removes the end date for Medication Assisted Treatment (MAT) services and adds recovery peers and treatment coordinators as qualified providers.

North Dakota Medicaid State Plan Amendment Approval

The Centers for Medicare & Medicaid Services (CMS) approved North Dakota's State Plan Amendment (SPA) 26-0008 on March 10, 2026. This amendment updates the designee responsible for State Plan submissions. The SPA was effective January 5, 2026.

Arizona Medicaid SPA AZ-25-0029 Updates Nursing Facility Rates

The Centers for Medicare & Medicaid Services (CMS) approved Arizona State Plan Amendment AZ-25-0029, updating fee-for-service payment rates for nursing facility services. These updated rates are effective January 1, 2026.

South Dakota Medicaid SUD/IMD Template and Provider List Updates

The Centers for Medicare & Medicaid Services (CMS) approved South Dakota's Medicaid State Plan Amendment (SPA) 25-0015. This amendment updates the Substance Use Disorders/Institutions for Mental Diseases template and revises the provider list for school-based direct services and administrative claiming.

2025 Medicare Transmittals and Implementation Dates

The Centers for Medicare & Medicaid Services (CMS) has released its 2025 transmittals, detailing updates and implementation dates for various Medicare programs. These documents outline changes to payment systems, data reporting, and operational procedures for healthcare providers.

Medicare Policy Updates and Coding Changes

The Centers for Medicare & Medicaid Services (CMS) has issued several transmittals detailing policy updates and coding changes for Medicare in 2026. These updates cover various areas including the Review Choice Demonstration, SSI/Medicare beneficiary data, preventive services, error rate testing, and specific payment systems. The implementation dates for these changes range from April to May 2026.

Medicare Transmittals: Policy Changes and Coverage Updates

The Centers for Medicare & Medicaid Services (CMS) has issued several transmittals in late 2024 detailing policy changes and coverage updates for Medicare. These updates affect various aspects of Medicare benefits, billing, and claims processing, with implementation dates extending into 2025.

Medicare Transmittals and Updates

The Centers for Medicare & Medicaid Services (CMS) has issued several transmittals and updates for Medicare in late December 2023. These documents provide guidance on coding, payment systems, and policy clarifications for healthcare providers. Key updates include changes to ICD-10, IVIG items, ACO REACH model APIs, and the ASC payment system.

Medicaid Applied Behavior Analysis Audits for Children with Autism

The HHS Office of Inspector General announced a series of audits of Medicaid Applied Behavior Analysis (ABA) services for children with autism. These audits aim to determine if state Medicaid agencies' payments complied with federal and state requirements, following identification of questionable billing patterns.