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...
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...
Dec 14, 2020 | 340B, News and Updates, Rulemaking
On December 14, 2020, the Health and Resource Service Administration (HRSA) published a Final Rule specifying the requirements and procedures for the 340B Program’s administrative dispute resolution (ADR) process. The process was established to support covered...
Dec 11, 2020 | 340B, Litigation, News and Updates
Six national associations representing hospitals and pharmacists, and three individual hospitals participating in the 340B drug discount program, filed a lawsuit in the Northern District of California asking the court to order the Health and Resource Service...
Nov 9, 2020 | Directed Payments, Medicaid Managed Care, Medicaid Managed Page, News and Updates, Rulemaking
On November 9, 2020, CMS issued a managed care rule that largely finalizes policies proposed by the agency in a November 2018 proposed rule. Among other things, the final rule would eliminate prior approval requirements for directed payments implementing minimum fee...
