News & Resources

Welcome to your hub for relevant information designed to answer questions, mitigate challenges, and inform you of changes or current events in your industry. 

Helpful Resources

We have compiled a list of websites that aim at offering solutions, clarifying policies or regulations, and/or providing industry updates.

NPI Registry Public Search

The NPI Registry Public Search is a free directory of all active National Provider Identifier (NPI) records. Healthcare providers acquire their unique 10-digit NPIs to identify themselves in a standard way throughout their industry.

Individuals or organizations apply for NPIs through the CMS National Plan and Provider Enumeration System (NPPES). After we supply an NPI, we publish the parts of the NPI record that have public relevance, including the provider’s name, specialty (taxonomy) and practice address.

National Alliance for Medicaid in Education, Inc. (NAME)

“We envision the day when public policy values children’s health as essential to learning.”

The National Alliance for Medicaid in Education, Inc. (NAME) is a non-profit 501(c)(3) organization that was created in response to a need for a national forum to address the complexities and challenges of Medicaid reimbursement programs in school settings.

Comprised of members from the nation’s school districts and state Medicaid and Education agencies who are involved in administration of Medicaid claiming for school-based services. Other members are those with an interest in the Medicaid-in-education field such as businesses, consulting firms, non-profit organizations and federal agencies.

Through Medicaid claiming for covered health-related services and Medicaid-related administrative activities, public schools recover some of their costs for serving Medicaid-eligible school-age children.

Medicaid State Plan Amendments

A Medicaid and CHIP state plan is an agreement between a state and the Federal government describing how that state administers its Medicaid and CHIP programs. It gives an assurance that a state will abide by Federal rules and may claim Federal matching funds for its program activities. The state plan sets out groups of individuals to be covered, services to be provided, methodologies for providers to be reimbursed and the administrative activities that are underway in the state.

When a state is planning to make a change to its program policies or operational approach, states send state plan amendments (SPAs) to the Centers for Medicare & Medicaid Services (CMS) for review and approval. States also submit SPAs to request permissible program changes, make corrections, or update their Medicaid or CHIP state plan with new information.

Federal Policy Guidance - Centers for Medicare & Medicaid Services (CMS)

The Centers for Medicare & Medicaid Services (CMS) is responsible for implementing laws passed by Congress related to Medicaid, the Children’s Health Insurance Program (CHIP), and the Basic Health Program. To implement these programs, CMS issues various forms of guidance to explain how laws will be implemented and what states and others need to do to comply. In addition to regulations, CMS issues
sub-regulatory guidance to address policy issues as well as operational updates and technical clarifications of existing guidance.

Follow Along

We stay on top of everything going on in your industry, as well as any advancements or opportunities that exist to enhance the Medicaid billing and claiming process. Stay tuned – we’ll continue to share news and resources that are relevant to you.

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