Sep 25, 2024 | Medicaid Managed Care, News and Updates
In a presentation to state Medicaid directors, CMS recently clarified how it plans to exercise its enforcement discretion under its April 22, 2024 (CIB). In that CIB, CMS announced it will not enforce its policy prohibiting provider assessment programs involving...
Apr 23, 2024 | Medicaid Managed Care, News and Updates
The Centers for Medicare & Medicaid Services (CMS) has released its long-anticipated final Medicaid managed care rule, codifying a policy that allows hospitals to receive reimbursement equivalent to commercial rates in Medicaid managed care to promote access to...
May 9, 2023 | Medicaid, Medicaid Managed Care
On Thursday, April 27, the Centers for Medicare & Medicaid Services (CMS) issued a long-anticipated proposed rule related to Medicaid and CHIP managed care programs. Of particular importance for many of our clients across the country, CMS continued its practice of...
Jun 28, 2022 | Medicaid Managed Care
Both The Medicaid and CHIP Access and Payment Commission and the Government Accountability Office have recently published recommendations for increasing transparency of managed care directed payment programs to facilitate closer evaluation of direct payment programs....
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...
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...
