Avoid Unexpected Medicaid DSH Recoupments Under New Hospital-Specific Limit Rules The rules governing how to treat costs and revenues for hospital services provided to dually-eligibl… Read More
Coronavirus Resources This page collects some of the COVID-19-related federal laws, regulations and guidance that is most … Read More
340B Drug Discount Program HRSA Office of Pharmacy Affairs Program Website Law and Guidance Section 340B of the Public Health S… Read More
DSRIPs and Related Programs At Eyman Associates, we monitor developments in the use of 1115 waiver demonstrations to support del… Read More
Uncompensated Care Pools A number of state Medicaid programs have received approval under 1115 demonstration authority for fu… Read More
Medicaid Managed Care Key Resources on Medicaid Managed Care CMS Published Rules and Regulations Proposed Rule on New Pas… Read More
CMS Issues Proposed IPPS Rule The Centers for Medicare & Medicaid Services (CMS) has released its proposed inpatient prospecti… Read More
FMAP-Enhanced DSH Allotments Announced CMS published a Federal Register Notice on March 16, 2022 implementing a congressionally-mandated in… Read More
Avoid Unexpected Medicaid DSH Recoupments Under New Hospital-Specific Limit Rules The rules governing how to treat costs and revenues for hospital services provided to dually-eligibl… Read More
CMS Releases State Medicaid Director Letter with Guidance on Implementation of Supplemental Payment Reporting and DSH Limit Provisions in Consolidated Appropriations Act of 2021 In a State Medicaid Director Letter (SMDL) dated December 10, 2021, the Centers for Medicare & M… Read More
Congress Delays and Reduces DSH Allotment Cuts, Alters Treatment of Patients with Third-Party Coverage in Calculating the Hospital-Specific DSH Limit The Consolidated Appropriations Act of 2021 (CAA) contains two important changes impacting Medicaid … Read More
Fifth Circuit Upholds CMS Third Party Payer Rule in DSH Litigation On April 20, The U.S. Court of Appeals for the Fifth Circuit became the third appeals to court to re… Read More
Petition for Certiorari Filed in CHAT DSH Litigation On April 6, 2020, a petition for writ of certiorari was filed in the DSH litigation case of Child… Read More
Senate Approves Temporary Delay in DSH Cuts On September 26, 2019, the Senate approved a bipartisan continuing resolution to temporarily delay $… Read More
CMS Issues Final Rule on DSH Cut Methodology On September 23, 2019, CMS issued a final rule implementing its Disproportionate Share Hospital (DSH… Read More
Despite Early Success for Providers, August 2019 Appellate Court Decision Leaves Future Uncertain for Medicaid DSH Third-Party Payer Policy Over the last several years, courts in various jurisdictions have issued rulings in lawsuits challen… Read More