News Headlines Article

HHS rule allows hospitals to bill state for some presumed-eligible Medicaid patients
Modern Healthcare

Hospitals girding for an influx of Medicaid patients in 2014 under the healthcare reform law’s Medicaid coverage expansion recently were given some new regulatory tools to deal with the financial fallout. A final HHS rule issued the morning after Independence Day implemented provisions of the Patient Protection and Affordable Care Act that allow hospitals to presume some uninsured patients are eligible for Medicaid and then bill their state program for the cost of their care. The rule specified that states cannot hold hospitals liable for the cost of care for patients they incorrectly assumed were Medicaid-eligible.