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Texas Files Suit Against HHS Seeking Reversal of $25 Million Disallowance

by keith | Dec 2, 2019 | Litigation, Medicaid, News and Updates

On December 2, 2019, the Texas Health and Human Services Commission filed suit against HHS seeking reversal of an August 2018 DAB decision that upheld a $25 million disallowance against the state. The complaint, filed in D.C District Court, argues that the standard...

CMS Proposes Sweeping Medicaid Financing Changes through Fiscal Accountability Rule

by keith | Nov 12, 2019 | Medicaid, News and Updates, Rulemaking

On November 12, 2019, CMS issued a proposed rule that, if finalized, would have a sweeping impact on Medicaid programs across the country. The 222-page “Medicaid Fiscal Accountability Regulation” seeks to implement significant policy changes to some of the key...

Three Federal District Courts Block DHS Public Charge Rule

by keith | Oct 11, 2019 | Litigation, Medicaid, News and Updates

Federal district courts in Washington, New York, and California have blocked the Trump Administration’s public charge rule from going into effect. The Southern District of New York’s ruling applies on a nationwide basis, with the other two rulings limited...

Tennessee Releases Draft Medicaid Block Grant Proposal

by keith | Sep 17, 2019 | Medicaid, News and Updates, Waivers

On September 17, 2019, Tennessee released a draft amendment proposal to its 1115 “TennCare” waiver that would restructure its Medicaid program into a block grant. Though this option has been discussed in various states, and encouraged by CMS under Administrator Seema...

Despite Early Success for Providers, August 2019 Appellate Court Decision Leaves Future Uncertain for Medicaid DSH Third-Party Payer Policy

by keith | Sep 13, 2019 | DSH, Litigation, Medicaid, News and Updates

Over the last several years, courts in various jurisdictions have issued rulings in lawsuits challenging the Centers for Medicare & Medicaid Services’ (CMS’) policy requiring the inclusion of Medicare and commercial payments in the calculation of the Medicaid...

DHS Issues Final Rule on Public Charge

by keith | Aug 14, 2019 | DSH, Medicaid, News and Updates, Rulemaking

On August 14, 2019, the Department of Homeland Security (DHS) issued a final rule expanding the types of public benefits that may be considered when assessing whether an individual is a “public charge” for purposes of altering their immigration status. The rule allows...
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