Jan 8, 2021 | Directed Payments, Medicaid Managed Care, Medicaid Managed Page
On January 8, 2021, the Centers for Medicare & Medicaid Services (CMS) issued a State Medicaid Director Letter (SMDL) outlining additional guidance on Medicaid managed care directed payments, as well as a revised preprint form for use in seeking approval of...
Jan 4, 2021 | News and Updates, Waivers
On January 4, 2021, CMS requested that states with 1115 waivers sign a Letter of Agreement establishing restrictive procedural requirements for CMS to terminate their waivers.
Dec 30, 2020 | 340B, News and Updates
Following a series of disputes between drug manufacturers and participants in the 340B program over contract pharmacies, on December 30, 2020, the Health and Resource Service Administration (HRSA) issued Advisory Opinion 20-06, concluding that the plain meaning of the...
Dec 29, 2020 | Medicaid, News and Updates, Waivers
On December 29, 2020, the Centers for Medicare & Medicaid Services (CMS) approved California’s request to extend its 1115 waiver demonstration, “Medi-Cal 2020,” for one year. Medi-Cal 2020 was approved for a five-year period on December 30, 2015, building off...
Dec 27, 2020 | Medicaid, News and Updates
In the Consolidated Appropriations Act of 2021 (CAA), Congress enacted a provision requiring the Department of Human Services (HHS) to establish a mechanism for reporting on Medicaid supplemental payments. The reporting requirements will apply to supplemental payments...
