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…

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Coronavirus Resources

This page collects some of the COVID-19-related federal laws, regulations and guidance that is most …

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340B Drug Discount Program

HRSA Office of Pharmacy Affairs Program Website Law and Guidance Section 340B of the Public Health S…

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DSRIPs and Related Programs

At Eyman Associates, we monitor developments in the use of 1115 waiver demonstrations to support del…

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Uncompensated Care Pools

A number of state Medicaid programs have received approval under 1115 demonstration authority for fu…

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Medicaid Managed Care

Key Resources on Medicaid Managed Care CMS Published Rules and Regulations Proposed Rule on New Pas…

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CMS Issues Proposed IPPS Rule

The Centers for Medicare & Medicaid Services (CMS) has released its proposed inpatient prospecti…

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FMAP-Enhanced DSH Allotments Announced

CMS published a Federal Register Notice on March 16, 2022 implementing a congressionally-mandated in…

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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…

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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…

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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 …

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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…

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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…

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Senate Approves Temporary Delay in DSH Cuts

On September 26, 2019, the Senate approved a bipartisan continuing resolution to temporarily delay $…

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CMS Issues Final Rule on DSH Cut Methodology

On September 23, 2019, CMS issued a final rule implementing its Disproportionate Share Hospital (DSH…

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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…

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