Mar 7, 2025 | News and Updates, Rulemaking
On March 3, 2025, the Department of Health and Human Services (HHS) announced the rescission of a long-standing agency policy colloquially known as the “Richardson Waiver,” which could dramatically curtail public notice and opportunity to comment on regulatory changes...
Mar 7, 2025 | Medicaid, News and Updates, Waivers
The Centers for Medicare & Medicaid Services (CMS) recently rescinded Biden era guidance related to the coverage of health-related social needs (HRSN) services and supports in Medicaid and the Children’s Health Insurance Programs (CHIP). CMS has defined HRSNs as...
Sep 25, 2024 | Medicaid Managed Care, News and Updates
In a presentation to state Medicaid directors, CMS recently clarified how it plans to exercise its enforcement discretion under its April 22, 2024 (CIB). In that CIB, CMS announced it will not enforce its policy prohibiting provider assessment programs involving...
Apr 23, 2024 | Medicaid Managed Care, News and Updates
The Centers for Medicare & Medicaid Services (CMS) has released its long-anticipated final Medicaid managed care rule, codifying a policy that allows hospitals to receive reimbursement equivalent to commercial rates in Medicaid managed care to promote access to...
Apr 10, 2024 | News and Updates
The Centers for Medicare & Medicaid Services (CMS) has released its proposed IPPS rule for FY 2025, which proposes modest increases in the annual payment update (a 2.6% increase) and Medicare disproportionate share hospital (DSH) payments (estimated to be $9.98...
Apr 9, 2024 | News and Updates
The Health Resources and Services Administration (HRSA) finalized its changes to the 2020 ADR rule intended to improve accessibility and limit administrative burden. Among its provisions: the ADR panels will comprise only Office of Pharmacy Affairs staff as opposed to...
