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Texas District Court Sets Aside 2024 CMS Hold Harmless Rule & Related Bulletins

Sep 24, 2025 | Litigation, Medicaid

A Texas District Court judge granted Texas’ motion for summary judgment in the state’s lawsuit challenging two CMS Informational Bulletins and provisions in CMS’ 2024 Medicaid managed care rule that prohibit certain voluntary redistribution agreements among private...

CMS Releases Informational Bulletin on SDP Quality Evaluations

Sep 10, 2025 | Directed Payments, Medicaid, News and Updates

The Centers for Medicare & Medicaid Services (CMS) published a Center for Medicaid and CHIP Services (CMCS) Informational Bulletin on September 10, 2025 regarding state directed payment (SDP) quality evaluations. The bulletin notes that, despite regulatory...

OBBBA Becomes Law with Substantial Healthcare Cuts

Jul 14, 2025 | Medicaid, News and Updates

On July 3, 2025, Congress passed H.R. 1, the One Big Beautiful Bill Act (OBBBA). The following day, President Trump signed the bill into law. The law will reduce Medicaid spending by $1 trillion through 2034. Significant changes to the Medicaid program include limits...

House Passes Reconciliation Bill with Significant Medicaid Cuts

May 27, 2025 | Directed Payments, Legislation, Medicaid, News and Updates

On May 22, the House of Representatives passed a reconciliation bill, the One Big Beautiful Bill Act, that, if enacted, will reduce federal Medicaid spending by $800 billion through 2034. The bill now moves to the Senate, where changes to the bill, including its...

CMS Rescinds Guidance on Supporting Health-Related Social Needs in Medicaid & CHIP

Mar 7, 2025 | Medicaid, News and Updates, Waivers

The Centers for Medicare & Medicaid Services (CMS) recently rescinded Biden era guidance related to the coverage of health-related social needs (HRSN) services and supports in Medicaid and the Children’s Health Insurance Programs (CHIP). CMS has defined HRSNs as...

CMS Proposes Changes to Medicaid Managed Care Rules, Including on State Directed Payments

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...
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