May 9, 2023 | Medicaid, Medicaid Managed Care
On Thursday, April 27, the Centers for Medicare & Medicaid Services (CMS) issued a long-anticipated proposed rule related to Medicaid and CHIP managed care programs. Of particular importance for many of our clients across the country, CMS continued its practice of...
Apr 15, 2023 | Directed Payments, Medicaid, News and Updates
CMS’ Centers for Medicaid and CHIP Services (CMCS) has released an Informational Bulletin stating its interpretation of federal laws related to Medicaid payments where the state share is derived from a provider tax. The bulletin specifically addresses private...
Apr 15, 2023 | Medicaid DSH, News and Updates, Rulemaking
The Centers for Medicare & Medicaid Services (CMS) has released its proposed rule implementing Section 203 of the Consolidated Appropriations Act of 2021, which altered the calculation of the Medicaid hospital-specific DSH limit to exclude costs and payments...
Jan 30, 2023 | News and Updates
The first of three federal circuits to consider the authority of the Health Resources and Services Administration (HRSA) to prohibit drug manufacturer contract pharmacy restrictions issued an unfavorable decision for hospitals, ruling that the federal 340B statute is...
Jun 28, 2022 | Medicaid Managed Care
Both The Medicaid and CHIP Access and Payment Commission and the Government Accountability Office have recently published recommendations for increasing transparency of managed care directed payment programs to facilitate closer evaluation of direct payment programs....
