CMS Says States Can Withhold Medicaid Reimbursement.

CMS on Monday clarified that states have the noesis to occlusion Medicaid insurance coverage of erectile dysfunction drugs such as viagra soft tab for convicted sex offenders,… USA Day reports (Jones, USA Twenty-four hour period, 5/24). New York emotional state Comptroller Alan Hevesi on Friday said a administrative division scrutiny found that nearly 200 convicted Spirit level 3 sex offenders in the State received Medicaid amount of money for sildenafil. Hevesi sent a varsity letter importunity HHS Secretarial assistant Mike Leavitt “to take immediate action at law to ensure that sex offenders do not receive erectile dysfunction therapy paid for by the taxpayers.” Multitude designated as Point 3 sex offenders have been convicted of crimes such as rape, sexual disrespect and sexual behaviour against a tyke and are classified by courts as likely to re-offend. The auditors did not revue whether Medicaid pays for viagra for sex offenders in other states, but a spokesperson for the comptroller said there was no datum that policies are different elsewhere (Kaiser Daily Eudaemonia Insurance Estimation, 5/23). CMS spokesperson Gary Karr said, “The Medicaid written document should not be paying for erectile dysfunction drugs for sex offenders” (AP/New York Minute, 5/24). Karr said the embarrassment stemmed from an apparent misconception of a 1998 Fed Medicaid line that requires the papers to cover song any drug that is medically necessary, including ED drugs. Karr said, “States have big margin,” adding, “A nation can determine (that) a drug is medically not appropriate for a certain case or gathering of patients, and the administrative division can exclude that set from coverage”.
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