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...
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...
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...
