Milestone: Establish Medicaid non-payment policies for health care-acquired conditions
Providers can prevent many health care-acquired conditions. Medicaid agencies can create an incentive for providers to increase their efforts to prevent these conditions by ceasing to pay for their treatment—ultimately reducing their occurrence.
*Milestone details:
*Full name: Establish Medicaid non-payment policies for health care-acquired conditions.
*Relevance to the ACA:
According to the ACA, states will no longer receive federal matching dollars for any payments made through the Medicaid program for medical expenses associated with certain health care-acquired conditions with the stipulation that the prohibition on payment for health care-acquired conditions shall not result in a loss of access to care or services for Medicaid beneficiaries (§2702 effective July 1, 2011).
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Maine
The attached legislation prohibits health care facilities from "knowingly charging a patient or the patient's insurer for health care services it provided as a result of or to correct a mistake or preventable adverse event caused by that health care facility." The legislation lists 28 mistakes/preventable adverse events.