Over the last several years, courts in various jurisdictions have issued rulings in lawsuits challenging the Centers for Medicare & Medicaid Services’ (CMS’) policy requiring the inclusion of Medicare and commercial payments in the calculation of the Medicaid disproportionate share […]
For a printer-friendly version, click here. The Centers for Medicare and Medicaid Services (CMS) approved a Section 1115 waiver for North Carolina on October 19, 2018 that includes an innovative new pilot program. Embedded in the larger waiver, which is focused […]
CMS Work Requirements in 1115 Medicaid Waivers On January 11, 2018, CMS released guidance paving the way for states to obtain waivers to institute work requirements as a condition for Medicaid eligibility, a sharp deviation from prior CMS policy. This […]
Happy New Year from Eyman Associates to our clients and friends. The holiday break has given us a chance to pause and reflect on the year just finished and the challenges ahead. We wanted to share a few of our […]
CMS’ July 6 release of the 2016 Proposed Medicare Outpatient Prospective Payment System (OPPS) rule begins to answer a few questions about how the so-called “site neutral” policy, hurriedly adopted late last year by Congress, may be implemented. But it leaves […]
What You Need to Know About the Massachusetts Waiver Renewal PDF
Even with the successful close of the first health insurance exchange open enrollment period, providers will continue to treat significant numbers of patients who remain uninsured because they cannot afford coverage, particularly in non-expansion states and regions with more limited […]
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