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The Massachusetts Executive Office of Health and Human Services (EOHHS) is a Cabinet level agency under the Governor of Massachusetts. EOHHS is the largest secretariat in Massachusetts, and is responsible for the Medicaid program, child welfare, public health, disabilities, veterans’ affairs, and elder affairs.
Medicaid estate recovery is a required process under United States federal law in which state governments adjust (settle) or recover the cost of care and services from the estates of those who received Medicaid benefits after they die.
Updates to the CMR are published in the bi-weekly Massachusetts Register from the Massachusetts Secretary of the Commonwealth. The Code is organized by executive cabinet agency. In citations, the number before the "CMR" refers to the issuing agency, and the numbers thereafter refer to a specific chapter or section. [1]
A 2012 Supreme Court decision established that states may continue to use pre-ACA Medicaid eligibility standards and receive previously established levels of federal Medicaid funding; in states that make that choice, income limits may be significantly lower, and able-bodied adults may not be eligible for Medicaid at all. [2] Medicaid is the ...
In the United States, approximately 9.2 million people are eligible for "dual" status. [1] [2] Dual-eligibles make up 14% of Medicaid enrollment, yet they are responsible for approximately 36% of Medicaid expenditures. [3] Similarly, duals total 20% of Medicare enrollment, and spend 31% of Medicare dollars. [4]
The law mandated that nearly every resident of Massachusetts obtain a minimum level of insurance coverage, provided free and subsidized health care insurance for residents earning less than 150% and 300%, respectively, of the federal poverty level (FPL) [2] and mandated employers with more than 10 full-time employees provide healthcare insurance.
Electronic visit verification (EVV) is a method used to verify home healthcare visits to ensure patients are not neglected and to cut down on fraudulently documented home visits. Beginning January 1, 2020, home care agencies that provide personal care services must have an EVV solution in place or risk having their Medicaid claims denied, under ...
The Centers for Medicare & Medicaid Services (CMS) is a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children's Health Insurance Program (CHIP), and health insurance portability standards.