Nov 7, 2017 | Medicaid, News and Updates, Waivers
On November 6, 2017, CMS released two information bulletins describing changes the agency will implement to streamline the waiver approval process. Changes will include clarification on certain procedural expectations (e.g. budget neutrality) to improve transparency...
Nov 2, 2017 | Medicare, News and Updates
In its Physician Fee Schedule Final Rule for CY 2018, released November 2, 2017, CMS reduced the rates that will be paid for nonexcepted items and services furnished by nonexcepted off-campus provider-based departments (PBDs) for CY 2018. In CY 2017, CMS based...
Nov 2, 2017 | Directed Payments, Medicaid Managed Care, Medicaid Managed Page, News and Updates
CMS released additional guidance to states on development and approval of “directed payments”—payments that the state directs its managed care plans to make to identified classes of providers through their managed care contracts. CMS newly defined this concept in its...
Nov 1, 2017 | DSH, Medicaid, Medicare, News and Updates, Rulemaking
The Centers for Medicare & Medicaid Services (CMS) finalized regulations requiring states to include Medicare or commercial payments for services provided to dually eligible Medicaid patients when calculating the hospital-specific limit on DSH payments during...
Nov 1, 2017 | 340B, News and Updates, Rulemaking
HRSA furthered delayed implementation of a final rule codifying the calculation of the 340B ceiling price, and implementing civil monetary penalties for manufacturers that knowingly and intentionally overcharge 340B providers. The final rule had been published on...
Oct 30, 2017 | DSH, Legislation, News and Updates
The House CHIP re-authorization bill would delay cuts in Medicaid disproportionate share payments to hospitals for two years. It is currently making its way through the rules committee and is anticipated to go to the House Friday, November 3rd.
