Podcasts about state medicaid

Tonight, on NJ Spotlight News…Representative Andy Kim is calling the President's agenda “reckless” and desperate democrats are even threatening to let the government shutdown; Plus, New Jersey' comptroller is taking action against the owner of several nursing homes in North Jersey by cutting State Medicaid funding; Also, PREVENTING AVIAN FLU… Hackensack Meridian Health is stepping up its mutation testing to prevent any potential outbreaks here in the state; And, student  success…finally some school districts are seeing post pandemic improvements inside their classrooms,    

Dec. 18, 2024 - State Medicaid Director Amir Bassiri discusses an effort to ensure uninterrupted health insurance for kids, gives an update on the Medicaid "unwinding" effort, and addresses allegations of ineligible New Yorkers getting government health insurance.

On this episode of Inside Olympia....Austin Jenkins sits down with Health Benefit Exchange CEO Ingrid Ulrey and State Medicaid Director Charissa Fotinos.  

Listen every weekday for a local newscast featuring town, county, state and regional headlines. It's the daily dose of news you need on Wyoming, Idaho and the Mountain West — all in four minutes or less.

Somali patrol groups are give $300k to mitigate youth violence. Good luck with that. Gov Walz is unaware that the FBI is looking at state Medicaid fraud as it relates to an explosion of autism providers. In order to save the world, New York hotels are getting rid of small shampoo bottles, which the mayor can't read anyway. Johnny Heidt with guitar news. Heard On The Show: Mike Lindell's MyPillow facing another eviction notice in Shakopee Minnesota's largest candy store will now stay put at original location Costco raises annual membership fees for the 1st time since 2017, boosting them $5 to $10 Learn more about your ad choices. Visit megaphone.fm/adchoices

State health officials say the number of Montanans on Medicaid is down roughly 5 percent compared to pre-pandemic levels. That's according to the state's final report on its Medicaid redetermination process.

Today – John Ingold and Michael Booth talk about some eye-opening Great Outdoors Colorado grants, and families winning better treatment from the state Medicaid system.See omnystudio.com/listener for privacy information.

What do you do when a State Medicaid program and their contractor fail to comply with their own published guidance... you call The Compliance Guy! Listen to this episode and hear an unbelievable story of incompetence and what happens when folks dig their heels in to deep and lose in the end. Paul Spencer Joins Sean to discuss all the details of this case.

UnitedHealth faces a lawsuit over its use of an algorithm in its Medicare Advantage denials. State Medicaid administrators anticipate a steep drop in enrollment and more spending on the program from state governments in 2024. And, the Biden Administration issues its final rule requiring nursing homes to be more transparent with their ownership information. That's coming up on today's episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

With state officials reviewing Medicaid rolls for the first time since the pandemic began, some doulas are concerned about their patients' coverage; The pedestrian bridge to Texas Beach will be closed this summer due to structural issues; Ahead of the Diamond District redevelopment, the city of Richmond will pay $25 million dollars to replace the Sports Backers Stadium; and other local news stories.

Welcome to the Healthcare Compliance Insights podcast, a series focused on healthcare regulatory, revenue integrity, compliance, and risk management topics. In this episode, BerryDunn healthcare consultants Regina Alexander and Markes Wilson discuss the basics of grant funded program oversight, common risks, and tips for compliance officers considering adding internal grant program oversight activities to their annual work plans. Grant revenue has become an increasingly significant source of funding for healthcare organizations across the continuum of care, especially academic medical centers, FQHCs, community hospitals, and behavioral health services organizations. Whether from a federal agency like HHS, HRSA, NIH, or CDC, State Medicaid program, foundation or private source, grants typically come with very specific use and reporting requirements.

I talk about this case as encouragement for you Elder Law Attorneys out there helping your clients and the State Medicaid authority says you are doing it wrong.  I used to think that "The State" was all knowing and if they said I did something wrong, then I must have been at fault.I quickly learned that they have an agenda and they may not know the rules a well as you do.  If you really know the rules, I'm going to say you know the rules better than most of them.  This podcast shows how the State of Minnesota tried to undo Federal Law in a Statute and the Commissioner was called out for trying to make a legitimate Irrevocable Trust that followed Federal Law a countable resource.  The Appellate Court called them out on it and it's beautiful.  This case should encourage you to fight the fight and not to back down if you know you are right and the State is wrong.

I talk about this case as encouragement for you Elder Law Attorneys out there helping your clients and the State Medicaid authority says you are doing it wrong.  I used to think that "The State" was all knowing and if they said I did something wrong, then I must have been at fault.I quickly learned that they have an agenda and they may not know the rules a well as you do.  If you really know the rules, I'm going to say you know the rules better than most of them.  This podcast shows how the State of Minnesota tried to undo Federal Law in a Statute and the Commissioner was called out for trying to make a legitimate Irrevocable Trust that followed Federal Law a countable resource.  The Appellate Court called them out on it and it's beautiful.  This case should encourage you to fight the fight and not to back down if you know you are right and the State is wrong.

"The Guys" bid farewell to 2021 in true CCC fashion! In this episode topics include: 1. COVID-19 coding and misperceptions by some commercial payers on levels of Evaluation and Management Services that can be billed. Guess what, you are not limited to 99211! 2. Telefraud in healthcare... 3. Telehealth Services and what can be billed now and in the future... 4. State Medicaid refusing to subscribe to any reasonable standards for statistical auditing and extrapolation, and so much more... With this being the last episode of the season "The Guys" wanted to go out with a bang in true CCC fashion! May you all have a very blessed Holiday Season and a Happy and Healthy New Year!!!

Imagine yourself on a vacation to a country where your native language is not spoken. Let's say Portugal. You do not know how to speak or read Portuguese, but you are given a map to help you get around.... but the map (of course) is printed in Portuguese. You can see the roads and have a vague idea of where you are going, but the map does not tell you what the BEST route is. And you won't know what lies between your current location and your destination because....YOU CAN'T READ PORTUGUESE! If you get lost it will be hard to ask for directions unless you can find someone who speaks your language. Are you feeling a little stressed out? State Medicaid regulations are not written in Portuguese, but amid all the other confusion about benefits, qualifications, forms, releases and assessments that must take place to qualify and receive Medicaid benefits the forest can often get obscured by all the trees. What is the difference between a Habilitation Waiver, a MI Choice Waiver, and a MI Health Link Waiver? Which one is the best fit for you or your loved one...and how do you decide (If you have been given a choice)? How does a Person-Centered Plan determine Medical Necessity for an individual with I/DD. Today's episode will try to answer these and more important questions for you! And if you have any questions that are not addressed, please contact us at contact@NLAWKI.com. We would love to hear from you!

Only certain NDC numbers are eligible for coverage and payment under State Medicaid Programs. CMS has a database where the NDC number can be verified.

State Medicaid programs are required to cover all drugs approved by the US Food & Drug Administration (FDA), including those that have received accelerated approval from the FDA to treat serious or life-threatening illnesses such as HIV or cancer. These drugs with accelerated approval may be beneficial based on surrogate end points such as changes in imaging or blood test results, but they have not yet been shown to improve health outcomes or survival. Rachel Sachs, JD, MPH, of the Washington University in St. Louis School of Law speaks with JAMA Health Forum Editor, John Ayanian, and Deputy Editor, Melinda Buntin, about how utilization and spending for costly drugs with accelerated approval have grown in the Medicaid program nationally since 1992, representing 9% of all Medicaid drug spending for just 0.2% of all prescriptions in 2018. Related Content: Medicaid Use and Spending for Drugs With FDA Accelerated Approval

Join us for a conversation with the Center for Health Care Strategies (CHCS). We talk about ways states can use CDC's 6ǀ18 initiative framework to create a partnership between state Medicaid programs and Public Health Departments. To access various CHCS resources discussed in the podcast, visit https://www.618resources.chcs.org/ and collab.chcs.org. Music attribution: “Creative Commons Hope” by Yakov Golman is licensed under CC BY 4.0.  

On this episode of Wonks at Work, host Craig Wilson talks to fellow healthcare policy wonk and native Arkansan Suzanne Bierman. No stranger to the world of Medicaid policy, Bierman formerly served as assistant director in the Division of Medical Services at the Arkansas Department of Human Services and is now the administrator of the Division of Healthcare Financing and Policy at the Nevada Department of Health and Human Services. Recently, Nevada became the second state with a “public option” law on the books. Bierman talks about her experience with both the "private option" in Arkansas and the "public option" in Nevada and discusses differences in care delivery approaches between the states' Medicaid programs.

Sarah DeSilvey, DNP, FNP-C, social determinants of health clinical informatics director of the Gravity Project and faculty at the University of Vermont Larner College of Medicine speaks with Michael Bailit, MBA, founder of Bailit Health, a consulting firm dedicated to ensuring insurer and provider performance accountability. This conversation is the fourth in a series focused on health care sector efforts to increase Awareness about both patient and community-level social conditions. Sarah and Michael share design considerations from state Medicaid agencies weighing the use of quality measures for social risk screening.Recommended references: Bailit Health. Developing a Social Risk Factor Screening Measure. 2020. Bailit Health. Social Risk Factor Screening in Medicaid Managed Care. 2020. Alderwick H, Gottlieb LM. Meanings and misunderstandings: A social determinants of health lexicon for health care systems. Milbank Q. 2019. The Gravity Project  Gottlieb L, DeSilvey SC. New Clinical Coding Guidelines Account for Patients' Social Risk: We Should Do More to Ensure They Advance Health Care Quality and Equity. Health Affairs Blog. 2020.

Challenges Facing State Medicaid Programs Our special guest today is Dr. Len Fromer, Executive Medical Director for the The Kinetix Group. Dr. Fromer is a Family Physician who has done a lot of work with many state Medicaid programs, helping build infrastructure to support delivering higher quality health care to the most vulnerable populations. Dr. Fromer shares what he sees as some of the critical issues facing state Medicaid programs, as well as recommendations for how industry can better align with the needs and issues facing these programs.Correction: In Dr. Fromer's introduction, we need to correct that he was a past diplomate of both the American Board of Family Practice and the National Board of Medical Examiners, and was a member of the advisory board of the state of California IMAP (Integrating Medicine and Public Health) program on allergy and asthma. 

On Oct 6, 2020 JAMA published an article by R. Sachs (link below) that explains the impossible position different pieces of Federal legislation have created for State Medicaid programs. In this episode we break down the article and why it provides some insight into broader problems in prescription drug reimbursement. source article email: econrxpodcast@gmail.com Twitter/Instagram: @EconRx LinkedIn: www.linkedin.com/company/econrx Website: https://econrx.libsyn.com/

In this episode of Start Your Day with Avalere, our experts discuss the key steps for an effective Medicaid procurement, or re-procurement, response.

Dr. Benjamin Sommers is a primary care internist and a professor of health policy and economics at the Harvard T.H. Chan School of Public Health. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. J. Gruber and B.D. Sommers. Paying for Medicaid — State Budgets and the Case for Expansion in the Time of Coronavirus. N Engl J Med 2020;382:2280-2282.

Editor in Chief Fred Rivara and Deputy Editor Steve Fihn discuss research published in in May 2020.

I’ve found that many adult children become the stewards (and sometimes owners) of their parents’ homes as the parent ages and requires facility care. These family members frequently make mistakes about transferring the title, paying for ongoing expenses to maintain the home or even significant remodeling or additions, only to get left holding the bag later when the State Medicaid agency comes calling. We’ll discuss some ways to protect yourself and the home, especially in a caregiving setting and keeping good records.

State Medicaid agencies are under enormous pressure to reduce costs while maintaining quality of care for Medicaid beneficiaries. In this podcast episode, Dr. Gordon Moore talks with Billy Millwee, former Texas Medicaid director and now consultant to Medicaid programs across the U.S. Mr. Millwee discusses his work to help state agencies understand value-based payment, pursue waivers, and address social determinants of health. Each state brings different ideas to the table. Which approach works best? By creating the right incentives, state Medicaids can bolster innovation to improve outcomes and lower costs.

Erik:                                     00:00                    You're listening to Uncommon Cents, a podcast by Bowman Financial Strategies. I'm your host, Erik Bowman and thank you for joining me today. Hi everyone. Today we're going to be discussing common beneficiary mistakes and how to prevent them. It is June 20th, 2019. Thanks for joining me today. Erik:                                     00:32                    Before I get into the common beneficiary mistakes, I thought I might take a moment to briefly give you an overview of some of the principles that we adhere to at Bowman financial strategies when it comes to beneficiary designations. The first thing is that we always want to name at least a primary beneficiary and whenever possible or when it makes sense. We also want to name a contingent beneficiary. The rationale for this really revolves around ensuring that your assets are going to whom you want them to go to after you've passed away without interference from the probate courts in the government and potentially contested wills and things like that where what you want to have happen may not actually work out smoothly if you don't designate it in the original contract or by making an additional beneficiary designation after a contract has already been opened up. This would apply to investment accounts, qualified and non-qualified example of a qualified account would be an IRA or an individual retirement account. And then there's non-qualified taxable brokerage accounts. Then of course, life insurance policies. All of these, you want to make sure that you have appropriate beneficiary designations. Erik:                                     01:51                    So the first primary issue is not naming a beneficiary on a life insurance policy or an investment account. Most of our custodians, fidelity and Schwab, for example, when we open up an IRA or a Roth IRA, they actually mandate that you list a primary beneficiary at a minimum before they'll even open the account. However, for non-qualified accounts, also known as transfer on death accounts, they actually do not require a beneficiary to be named if there is no beneficiary, the investment company or the custodian typically has their method of how they're going to dispose of those funds upon the death of the account owner. And usually it means it's going to go to the estate and then you're going to have the state get involved through probate with probate courts and lawyers cost, time and aggravation. So if you want to ensure that your assets flow through to who you want them to flow to after you're gone, you want to ensure that you are listing at least a primary beneficiary on all of your accounts. Erik:                                     02:57                    As an extension of this, first of not naming a beneficiary, as we've just discussed, you should always name it primary, but it's also problematic if you don't name a contingent beneficiary, a contingent beneficiary as the person who's going to receive the assets. If the account owner dies and if the primary beneficiary is also no longer alive, then the cash or the assets will flow directly to that contingent beneficiary. Once again, if a husband and wife die in an auto accident to be morbid for a quick moment and the surviving or the spouse, the wife was listed as the beneficiary and they both died in that car accident and if there's no contingent beneficiary, then once again those assets are going to be subject to probate. Erik:                                     03:47                    Another issue can run into sometimes, is that with an individual retirement account, what we find is that some people want to name a trust as the beneficiary. The issue with this is that upon the death of the account owner, the assets are going to then be liquidated and pass on to the trust, which is going to create some tax implications that are not usually very beneficial. That doesn't mean however, that every time you want to have a trust as a beneficiary for an IRA that it's wrong. There could be an example where we have a single parent and the children are minors and they don't want to leave $500,000 to a two year old. So you would accept that there are tax consequences and have the beneficiary be the trust. But at least the trust then and through the trustee is going to be able to exercise control over the distribution of those assets. Erik:                                     04:40                    But in most situations you would want to list your spouse as the beneficiary, which offers the definitive benefit of the IRA simply becomes the account of the surviving spouse. It's in their name, it doesn't have any reference to the deceased. And that means all tax deferral applies to the surviving spouse and their age. So for example, if the deceased spouse was older than the surviving spouse, this would delay the required minimum distribution rule so that they don't have to start taking money out of this IRA until they're age 70 and a half as opposed to, I'm taking it out based on the age of the deceased. Erik:                                     05:27                    A third issue with beneficiary designations would be not taking into account special circumstances. Not all loved ones should receive assets directly. These individuals might include minors or individuals with special needs. Individuals with special needs, for example, may be receiving benefits from the state to the State Medicaid program. And if you were to leave them money directly through a beneficiary designation, those assets then would fall into their ownership and therefore into their estate and would be counted against them, if you will, that might prevent them from receiving future valuable government benefits. So you want to evaluate that with an estate planning attorney and determine if potentially a special needs trust or some type of trust might make sense in that case to prevent that person from losing valuable government benefits. Erik:                                     06:25                    The fourth issue that we often see is not updating beneficiaries over time. Who you want to or should name as a beneficiary will most likely change over time as circumstances change and naming a beneficiary is part of an overall estate plan just as life changes. So should your estate plan. Beneficiary designations are an important part of that overall plan, so you want to make sure that they're updated regularly. Erik:                                     06:54                    A final error that people can make when naming a beneficiary is to name the wrong beneficiary. Now this may be unintentional because sometimes the beneficiary section of an application may not ask for a lot of information. It may only ask for a name and if you have multiple people in a family with similar names such as senior junior or the second or third, but the beneficiary designation form doesn't allow you to be that specific. Well that can cause potential litigation down the road and confusion. So you want to make sure you have the ability potentially through a letter of instruction in addition to the actual application to get very specific about exactly who that person is. Now many times on the application they actually have a place for the social security number and date of birth of the beneficiary. By adding these two pieces of information, you can be assured that the correct person is going to be receiving the benefits should the owner pass away. Erik:                                     07:52                    So in review, the primary mistakes we see regarding beneficiaries are number one, not naming a beneficiary. Number two would be not taking into account special circumstances when naming a beneficiary. Number three, not updating your beneficiary designations over time. And number four, naming beneficiaries incorrectly, which could lead to some confusion on who actually gets the money. And one of the subcategories that I also discussed was the downside of potentially naming a trust as the beneficiary. You want to make sure you're doing that with full knowledge of why you're doing it and the implications. As always, if you have any questions about beneficiary designations, please feel free to reach out to me, Erik Bowman at Bowman Financial Strategies. You can give a call to our office at (303) 222-8034 or you can send me an email at Erik that's E R I K at Bowman Financial Strategies.com. I appreciate you listening to this podcast today. Please feel free to share it with your friends and I look forward to speaking with you all again soon. Thank you for joining me for Uncommon Cents, the Bowman Financial Strategies financial education series. I'd love to hear your feedback on financial topics. You would like to learn more about. Just drop me an email at erik@bowmanfinancialstrategies.com or go to the Bowman Financial Strategies website and send me a note on our contact page. In addition, you can always search for topics of interest in my archive on our podcast page at www.bowmanfinancialstrategies.com/podcasts have a great day. Disclosure:                         09:39                    This communication does not constitute federal tax advice and may not be used as such. Please consult a qualified tax professional for tax advice or assistance. In addition, investment advisory services offered by Change Path, LLC, a registered investment adviser. Change Path and Bowman Financial Strategies are unaffiliated entities.  

Join co-hosts Nathalie Grogan, Erik LaDue, and Eli Richman for a lively discussion of important developments unfolding in public policy. Contact us at wonkcast@gmail.com or on Facebook. Subscribe in iTunes, Stitcher, or Google Play to #staywonky. The views expressed herein are those of the co-hosts and do not necessarily reflect the views of Policy Perspectives or the Trachtenberg School of Public […]

CPR's senior project and research manager, Roz Murray, calls Jaime King, Associate Dean and Faculty Director of the UCSF/UC Hastings Consortium on Science, Law and Health Policy, to learn about current state activity to address rising pharmacy prices. State Medicaid agencies are proposing different solutions like closed formularies and capping annual drug spending. Listen in to hear what Jaime thinks about the merits of these policies.

In the midst of the ongoing federal conversation surrounding the 340B Drug Pricing Program, individual states are implementing a number of regulatory efforts related to the 340B Program at an increasingly fast pace. These efforts are largely designed to avoid duplicate discounts, capture Medicaid drug rebates, and reduce reimbursement for 340B drugs. Many states have implemented new requirements at the claims level, though requirements widely vary by state and may vary by setting and whether billed as retail, clinic-administered, or contract pharmacy drugs. In this episode, Richard Church and Ryan Severson discuss several specific examples of states that are implementing changes to 340B billing procedures and some of the operational and compliance challenges that may arise, particularly for providers enrolled in multiple state Medicaid programs. Presenter: Richard P. Church and Ryan J. Severson Download Presentation Materials

In this episode, Hilary Bowman summarizes recent updates to the U.S. Department of Health & Human Services, Office of Inspector General (OIG) 2017 Work Plan. Specifically, she discusses OIG’s plans to investigate and audit opioid prescribing and use by Medicaid beneficiaries, telemedicine claims paid by State Medicaid programs, severe malnutrition claims paid by Medicare, and the benefits received by Medicaid beneficiaries through State-funded managed care organizations. The episode also highlights the health care practice group’s recent experience responding to denials of claims by Palmetto GBA for severe malnutrition. Presenter: Hilary H. Bowman Download Presentation Materials

Hey Medicare Nation! It's October, and that means it's Medicare season! If you need help navigating the 2018 Medicare Advantage Plans or Medicare Prescription Drug Plans, I'm available to help! Go to my website...... www.TheMedicareNation.com  and click on the "contact" button. Send me a short email of how I can assist you and I'll get back to you with details.   How many of you receive excess letters, brochures and booklets from Medicare insurance companies? I'm sure most of you do. How many of you, in the past, have received an "official looking" postcard or letter, that you believed came from Medicare or the Social Security Administration...... only to find out it's a "scam?"  Again.....I'm certain many of you did. Right now, many of you or your parents, have or will be receiving an actual letter from the social security administration, that is real! I'm serious.....it's not a scam! That's right...... in a joint venture to promote the Medicare Savings Program and the Extra Help Program, the federal government has been sending letters to Medicare beneficiaries, who may qualify for one or both programs. The letter details the criteria to qualify for the programs, as well as how to apply for each program. So..... what is the Medicare Savings Program? The Medicare Savings Program is run by your State's Medicaid Program. The program assists those who can't afford Medicare premiums or Medicare deductibles, co-insurance and/or co-payments. To qualify for a Medicare Savings Program, your "monthly" income and total "resources" (like money in the bank, stocks, annuities etc.) must be at or below the amounts the program has set as "The Threshold."  The house you live in, as well as one car you own, does not count towards the "resource" level. Let's take a look at those "thresholds" now. Medicare Savings Program 2017 Monthly Income Limit: Single Person $1,377.00  Married (living together) $1,847.00   2017 Total "Resource" Limit: Single Person $7,390 Married (living together) $11,090 To apply for the Medicare Savings Program, go to the official Medicare website www.Medicare.gov/contacts or.... call Medicare and ask them for your State's Medicaid office telephone number (800-633-4227). Now....let's take a look at the "Extra Help" program. The "Extra Help" program is run by the Social Security Administration.  Extra Help is a Medicare program that may help you or your parents pay Medicare prescription drug (Part D) deductibles, premiums, co-insurance and/or co-payments. You must be enrolled in Medicare Part D to be considered for the Extra Help program. You don't have to file two separate applications to apply for the Extra Help and the Medicare Savings Program. When you apply for the Extra Help program, Social Security will send your information to your State Medicaid office, to see if you also qualify for the Medicare Savings Program. If you don't want to apply for the Medicare Savings Program, you will need to indicate that on the application or advise the State Medicaid representative that you do not want to apply for the Medicare Savings Program. Let's take a look at the criteria for the Extra Help program. Extra Help Program 2017 Monthly Income Limit: Single Person $1,507.50  Married (living together) $2,030.00   2017 Total "Resource" Limit: Single Person $13,820.00 Married (living together) $27,600.00 To Apply for the Extra Help program, go to the official social security website - www.socialsecurityl.gov/extrahelp or call Medicaid......800-772-1212 to ask for an application. You can also go to your local Social Security office and wait in line if you'd like...... go here to find your local office - www.socialsecurity.gov/locator That's it for today Nation! I"ll see you next week with more Medicare information and resources! Diane

Click below to listen to the audio podcast: Labor Overtime Rule and the New Administration. http://dayinwashington.com/wp-content/uploads/2016/12/Labor-Overtime-Rule-and-the-New-Administration_edit.mp3 The Fair Labor Standards Act (FLSA or Act) guarantees a minimum wage for 40 hours in a workweek and one and one-half times the employee's regular rate of pay for any hours worked over that 40. But there are exceptions. In the past you had to make less than $23,660 to get that mandatory overtime pay.  The Department of Labor published a rule on May 23, 2016 that increases that amount to $47,476. For people with disabilities who rely on personal assistance services, most of which are funded by Medicaid, this had immense consequences. The key component is money. Many people who provide those services would now fall within the purview of the rule and so would have to be paid time-and-a-half for their hours over 40.  The American Network of Community Options and Resources (ANCOR), an association of over 1000 agencies that often provide this kind of in-home service gave an estimate that this would add over $1 billion in costs for agencies serving those with disabilities in the first year alone. State Medicaid rates do not take into account overtime. In addition, in recent years, time and again, efforts have been made limit Medicaid. Block grants, per capita caps etc. Efforts to push the cost onto States and unfortunately States aren't or cannot pick up the difference. That means either workers are not paid adequately (which this rule's enforcement will address) or there is a decrease in quality (and amount) of services available to people with disabilities. For many, this makes the difference of whether they can live independently at all. Obviously, there was significant pushback from the disability community as well as agencies providing services, including Congressional hearings and legal action. The Overtime Final Rule became effective on December 1, 2016. However, the Department of Labor is implementing a limited non-enforcement policy for providers of Medicaid-funded services for individuals with intellectual or developmental disabilities in residential homes and facilities with 15 or fewer beds. This non-enforcement period will last until March 17, 2019. The idea is to give agencies (like DOL and HHS) and federal and state agencies and policymakers to better coordinate and understand the potential unintended consequences and ensure that the lives of people with disabilities and their ability to live independently are not harmed. Of course, it isn't over. This is merely a delay of implementation.  Also, on the legal front, on November 22, a federal district court judge issued a preliminary injunction (State of Nevada v. United States Department of Labor (E.D. Tex., No. 4:16-CV-00731)). On December 8, the US Court of Appeals for the 5th Circuit granted the Department of Labor's request for an expedited hearing of its overtime rule appeal. Of course in judicial time expedited means that the case won't even be heard for several months, and it'll take even more time beyond that for the case itself.  What that means is that the Trump Administration and Congress could choose to repeal the rule, or at the very least, direct the Department of Labor to drop its legal appeal.   Resources USDOL Overtime Rule: https://www.dol.gov/whd/overtime/final2016/index.htm Time Limited Non-Enforcement Policy for a Subset of Medicaid-Funded Providers : https://www.dol.gov/whd/overtime/final2016/nonenforcement-faq.htm Federal Register Announcement for Non-Enforcement: https://www.federalregister.gov/documents/2016/05/23/2016-11753/defining-and-delimiting-the-exemptions-for-executive-administrative-professional-outside-sales-and Disability Rights and Labor: https://arineeman.com/2016/05/25/labor-and-disability-rights-a-chicken-and-egg-problem/