News and Updates

CMS Released Proposed Medicaid Managed Care Rule

On November 8, 2018, CMS released proposed regulations to amend the 2016 Medicaid Managed Care Rule. The proposed rule would allow states to establish new 3-year pass-through payments for populations transitioning into managed care, streamline the approval process for directed payments based […]

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CMS Issues 2018 OPPS Final Rule

On November 2, 2018, CMS issued its Hospital Outpatient and Prospective Payment System (OPPS) final rule. Of particular note, the agency finalized the proposal to extend the reduced payment rate provided under Section 603 of the Bipartisan Budget Act of 2015 […]

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CMS Releases Guidance on 1332 Waivers

On October 22, 2018, CMS released guidance for states seeking to implement State Innovation Waivers. The guidance provides additional clarification on the requirements that must be met for CMS to approve a 1332 waiver, including application review procedures, pass-through funding […]

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