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...
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The Centers for Medicare & Medicaid Services (CMS) recently rescinded Biden era guidance related to the coverage of health-related social needs (HRSN) services and supports in Medicaid and the Children’s Health Insurance Programs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...
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...
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...
Mar 16, 2022 | DSH, Medicaid, News and Updates
CMS published a Federal Register Notice on March 16, 2022 implementing a congressionally-mandated increase in Medicaid Disproportionate Share Hospital (DSH) allotments for FYs 2020 and 2021 to account for the enhanced federal Medicaid matching rates during the public...
Mar 14, 2022 | DSH, Medicaid, News and Updates, Resources
The rules governing how to treat costs and revenues for hospital services provided to dually-eligible Medicaid patients for purposes of calculating the limit on Medicaid disproportionate share hospital (DSH) payments to a particular hospital have been repeatedly...
