Jan 15, 2021 | News and Updates, Waivers
On January 15, 2021, CMS approved a 10-year renewal of Texas’ Section 1115 Medicaid waiver using emergency authority to bypass notice and comment requirements. The renewed waiver will extend and expand the state’s Uncompensated Care Pool and envisions the adoption of...
Jan 8, 2021 | News and Updates, Waivers
On January 8, 2021, CMS approved a new 10-year TennCare III waiver establishing a fixed aggregate dollar cap on funding accompanied by increased flexibility to make program changes and an opportunity for shared savings.
Jan 8, 2021 | Directed Payments, Medicaid Managed Care, Medicaid Managed Page
On January 8, 2021, CMS published a revised managed care directed payment preprint application as part of its new guidance on directed payments released the same day. The revised preprint incorporates additional questions and more detailed tables, many of which had...
Jan 8, 2021 | Directed Payments, Medicaid Managed Care, Medicaid Managed Page
On January 8, 2021, the Centers for Medicare & Medicaid Services (CMS) issued a State Medicaid Director Letter (SMDL) outlining additional guidance on Medicaid managed care directed payments, as well as a revised preprint form for use in seeking approval of...
Jan 4, 2021 | News and Updates, Waivers
On January 4, 2021, CMS requested that states with 1115 waivers sign a Letter of Agreement establishing restrictive procedural requirements for CMS to terminate their waivers.
Dec 30, 2020 | 340B, News and Updates
Following a series of disputes between drug manufacturers and participants in the 340B program over contract pharmacies, on December 30, 2020, the Health and Resource Service Administration (HRSA) issued Advisory Opinion 20-06, concluding that the plain meaning of the...
