Stay Updated: HHS Solutions’ Industry News

Medicaid Nursing Facility Rates Updated

New Medicaid nursing facility rates are now in effect. These updates include adjustments to Five-Star Quality Ratings, facility fixed costs, resident cost-sharing amounts (based on COLA), and ownership changes.

Action Step: Review these updates to confirm your facility’s compliance. For detailed information, refer to your email from DHHS or visit the Medicaid Provider Rates and Fee Schedules.

Nebraska Assisted Living Fee Schedules

Updated Medicaid fee schedules for Nebraska assisted living facilities are available online. These changes may directly affect your facility’s operations.

Action Step: Access the updated schedules here.

Medicaid Interpretation Services Coverage

Starting July 1, 2024, Nebraska Medicaid will reimburse for interpretation services during covered appointments, with full implementation on November 6, 2024.

Action Step: Track and document any related services now to ensure readiness. More details are available in the Medicaid Provider Bulletins.

Medicare Revalidations for Skilled Nursing Facilities

Medicare Administrative Contractors (MACs) have been issuing revalidation request letters to skilled nursing facilities since October 2024. The deadline for completion is May 2025.

Action Step: Check your facility’s revalidation status and complete any required forms. Visit Guidance for SNF Attachment on Form CMS-855A for more information.

Medicare 2025 Premiums and Deductibles

CMS has released updated 2025 rates for Medicare Parts A and B premiums, deductibles, and coinsurance. These changes are crucial for compliance and budgeting.

Action Step: Stay informed by reviewing the 2025 Medicare Parts A & B Premiums and Deductibles.

UHC Surest Health Plans and One Healthcare ID Updates

UnitedHealthcare has announced updates to its tools and processes, including:

• Improved prior authorization workflows.
• Authentication system changes requiring a unique One Healthcare ID per user, effective January 2025.

Action Step: Prepare for these changes by reviewing the UHC Provider Portal Authentication.

TRICARE West Region Joins Availity Essential

TRICARE West Region is now accessible via Availity Essential, providing a streamlined way to manage TRICARE data.

Action Step: Learn more about this tool at TRICARE West Region | Availity.