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CMS Approves California Advancing & Innovating Medi-Cal (CalAIM) Waivers, Including Provisions to Address Social Determinants of Health

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...

CMS Releases State Medicaid Director Letter with Guidance on Implementation of Supplemental Payment Reporting and DSH Limit Provisions in Consolidated Appropriations Act of 2021

Dec 10, 2021 | DSH, Medicaid, News and Updates

In a State Medicaid Director Letter (SMDL) dated December 10, 2021, the Centers for Medicare & Medicaid Services (CMS) issued guidance on how the agency will implement several Medicaid-related provisions from the Consolidated Appropriations Act of 2021 (CAA). As...

CMMI Releases New Strategic Objectives Focused On Health Equity

Oct 20, 2021 | Medicaid, News and Updates

The Center for Medicare and Medicaid Innovation (or “Innovation Center”) has released a white paper outlining the Center’s strategic objectives for its second decade, with the goal of achieving equitable outcomes through high-quality, affordable, person-centered care....

CMS Approves 1-Year Extension of CA 1115 Waiver Demonstration

Dec 29, 2020 | Medicaid, News and Updates, Waivers

On December 29, 2020, the Centers for Medicare & Medicaid Services (CMS) approved California’s request to extend its 1115 waiver demonstration, “Medi-Cal 2020,” for one year. Medi-Cal 2020 was approved for a five-year period on December 30, 2015, building off...

Congress Requires HHS to Establish Process for Reporting on Medicaid Supplemental Payments

Dec 27, 2020 | Medicaid, News and Updates

In the Consolidated Appropriations Act of 2021 (CAA), Congress enacted a provision requiring the Department of Human Services (HHS) to establish a mechanism for reporting on Medicaid supplemental payments. The reporting requirements will apply to supplemental payments...

Congress Delays and Reduces DSH Allotment Cuts, Alters Treatment of Patients with Third-Party Coverage in Calculating the Hospital-Specific DSH Limit

Dec 27, 2020 | DSH, Medicaid, News and Updates

The Consolidated Appropriations Act of 2021 (CAA) contains two important changes impacting Medicaid disproportionate share hospital (DSH) payments. First, the CAA once again delays Medicaid DSH cuts mandated by the Affordable Care Act, extending $8 billion in annual...
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