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CMS issues SMDL Letter on Budget Neutrality Calculation for 1115 Waivers

Aug 22, 2018 | Medicaid, News and Updates, Waivers

On August 22, 2018, CMS issued a State Medicaid Directors letter outlining how states should calculate their budget neutrality expenditure limits for Medicaid 1115 Waivers.

CMS Releases New Medicaid Program Integrity Initiatives

Jun 27, 2018 | Medicaid, News and Updates

On June 26, 2018, CMS announced a new set of initiatives seeking to promote program integrity throughout the Medicaid program. The initiatives focus on strengthening the audit process, increasing oversight of state contracts with provide health plans, increasing...

CMS Rejects Kansas’ Request to Impose Lifetime Limits on Medicaid Beneficiaries

May 7, 2018 | Medicaid, News and Updates, Waivers

On May 7, 2018, CMS official Seema Verma announced that the agency would not approve Kansas’ request to impose a 3-year lifetime limit on certain Medicaid beneficiaries. Verma stated that while CMS is committed to transitioning people out of poverty, “we also...

President’s FY 2019 HHS Budget Proposal Includes Significant Medicaid, Medicare and 340B Changes

Feb 12, 2018 | 340B, Executive Action, Medicaid, Medicare, News and Updates

The President’s FY 2019 budget includes several widely-reported health care proposals, such as an additional attempt at repealing and replacing the Affordable Care Act, as well as efforts to reduce the cost of prescription drugs and combat the opioid epidemic. But...

Missouri Federal Court First to Enjoin Implementation of Medicaid DSH Third Party Payer Final Rule

Feb 9, 2018 | DSH, Litigation, Medicaid, News and Updates

On Friday, February 9th, a federal district court in Missouri became the first to enjoin implementation of the Centers for Medicare & Medicaid Services’ (CMS’) Final Rule requiring the inclusion of Medicare and commercial payments in the calculation of the...

Indiana Becomes Second State to Add Work Requirements Among Other Changes

Feb 2, 2018 | Medicaid, News and Updates, Waivers

On February 2nd, Indiana become the second state to implement work requirements as part of its 1115 Medicaid Waiver, “Healthy Indiana Plan.” The initiative mirrors Kentucky’s in its program requirements and the types of beneficiaries that are exempted from...
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