by kara | Apr 15, 2023 | Directed Payments, Medicaid, News and Updates
CMS’ Centers for Medicaid and CHIP Services (CMCS) has released an Informational Bulletin stating its related to Medicaid payments where the state share is derived from a provider tax. CMCS takes the position that a hold harmless arrangement may exist even if the unit...
by keith | Jan 8, 2021 | Directed Payments, Medicaid Managed Care, Medicaid Managed Page
On January 8, 2021, CMS published a revised managed care directed payment preprint application as part of its new guidance on directed payments released the same day. The revised preprint incorporates additional questions and more detailed tables, many of which had...
by keith | 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...
by keith | Nov 9, 2020 | Directed Payments, Medicaid Managed Care, Medicaid Managed Page, News and Updates, Rulemaking
On November 9, 2020, CMS issued a managed care rule that largely finalizes policies proposed by the agency in a November 2018 proposed rule. Among other things, the final rule would eliminate prior approval requirements for directed payments implementing minimum fee...
by keith | Nov 8, 2018 | Directed Payments, Medicaid Managed Care, Medicaid Managed Page, News and Updates, Rulemaking
On November 8, 2018, CMS released proposed regulations to amend the 2016 Medicaid Managed Care Rule. The proposed rule would allow states to establish new 3-year pass-through payments for populations transitioning into managed care, streamline the approval process for...
by keith | Nov 2, 2017 | Directed Payments, Medicaid Managed Care, Medicaid Managed Page, News and Updates
CMS released additional guidance to states on development and approval of “directed payments”—payments that the state directs its managed care plans to make to identified classes of providers through their managed care contracts. CMS newly defined this concept in its...
