Sep 26, 2019 | DSH, Legislation, News and Updates
On September 26, 2019, the Senate approved a bipartisan continuing resolution to temporarily delay $4 billion in cuts to Medicaid disproportionate share hospital (DSH) payments. The cuts, originally set to take place on October 1, will now take effect on November...
Sep 24, 2019 | DSH, News and Updates, Rulemaking
On September 23, 2019, CMS issued a final rule implementing its Disproportionate Share Hospital (DSH) reduction methodology. The DSH payment cuts were part of the Affordable Care Act (ACA) and are currently scheduled to begin in 2020 after a series of two-year delays....
Sep 18, 2019 | Litigation, Medicare, News and Updates
On September 18, 2019, the D.C. District Court ruled that CMS exceeded its authority when it extended site-neutral payment to certain services in grandfathered clinics. The policy, issued as part of the November 2018 Outpatient Prospective Payment System (OPPS) Final...
Sep 17, 2019 | Medicaid, News and Updates, Waivers
On September 17, 2019, Tennessee released a draft amendment proposal to its 1115 “TennCare” waiver that would restructure its Medicaid program into a block grant. Though this option has been discussed in various states, and encouraged by CMS under Administrator Seema...
Sep 13, 2019 | DSH, Litigation, Medicaid, News and Updates
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...
