Apr 15, 2023 | Directed Payments, Medicaid, News and Updates
CMS’ Centers for Medicaid and CHIP Services (CMCS) has released an Informational Bulletin stating its interpretation of federal laws related to Medicaid payments where the state share is derived from a provider tax. The bulletin specifically addresses private...
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...
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...
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...
