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Avoid Unexpected Medicaid DSH Recoupments Under New Hospital-Specific Limit Rules

Mar 14, 2022 | DSH, Medicaid, News and Updates, Resources

The rules governing how to treat costs and revenues for hospital services provided to dually-eligible Medicaid patients for purposes of calculating the limit on Medicaid disproportionate share hospital (DSH) payments to a particular hospital have been repeatedly...

CMS Approves California Advancing & Innovating Medi-Cal (CalAIM) Waivers, Including Provisions to Address Social Determinants of Health

Dec 31, 2021 | Medicaid, Medicaid Managed Care, News and Updates, Waivers

In December, CMS approved some of California’s CalAim proposals through extensions of its 1115 demonstration and 1915(b) managed care waivers. California is transitioning significant programs under its prior 1115 waiver into its 1915(b) waiver, and working to sustain...

CMS Finalizes Medicare Graduate Medical Education Policies, including Process for Allocating 1,000 New Resident Slots

Dec 27, 2021 | GME, Medicare, News and Updates, Rulemaking

On December 27, 2021, CMS finalized several Medicare graduate medical education (GME) policies, implementing changes required by the Consolidated Appropriations Act of 2021 (CAA). Importantly, the rule establishes the process CMS will use to award 1,000 new resident...

Congress Further Delays Medicare Sequestration and Statutory Pay-As-You-Go Cuts

Dec 10, 2021 | Legislation, Medicare, News and Updates

On December 10, 2021, President Bident signed into law legislation further delaying steep Medicare cuts that were slated to take effect in the new year. Specifically, the moratorium on 2% Medicare sequestration cuts has been extended until April 1, 2022; cuts will be...

CMS Releases State Medicaid Director Letter with Guidance on Implementation of Supplemental Payment Reporting and DSH Limit Provisions in Consolidated Appropriations Act of 2021

Dec 10, 2021 | DSH, Medicaid, News and Updates

In a State Medicaid Director Letter (SMDL) dated December 10, 2021, the Centers for Medicare & Medicaid Services (CMS) issued guidance on how the agency will implement several Medicaid-related provisions from the Consolidated Appropriations Act of 2021 (CAA). As...
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