* As of December 30, 2018, CMS will no longer be enforcing FAQs 33 & 34 and has withdrawn them from its 2010 Medicaid DSH guidance. Over the last several years, courts in various jurisdictions have issued rulings in lawsuits challenging […]
The Centers for Medicare & Medicaid Services (CMS) finalized regulations requiring states to include Medicare or commercial payments for services provided to dually eligible Medicaid patients when calculating the hospital-specific limit on DSH payments during annual DSH audits. For some […]
In a final effort prior to the expiration of their budget reconciliation bill on September 30th, Republican senators Lindsey Graham (SC) and Bill Cassidy (LA) have introduced a new proposal to repeal the Affordable Care Act. The plan would terminate […]
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CMS has posted on its website a presentation from May 2016 announcing significant changes to its budget neutrality policy for Section 1115 demonstrations. The policy could restrict states’ abilities to continue or newly implement Medicaid provider payment programs or other innovations. Eyman Associates will […]
On June 30, CMS issued an Informational Bulletin announcing that it will use “targeted” enforcement discretion to work with states that are unable to meet the Medicaid managed care rule’s original deadlines for compliance, particularly those rules that take effect […]
On June 26th, the Senate released a new version of its health reform repeal and replace bill, the Better Care Reconciliation Act, that would impose a six month waiting period to begin coverage for people with significant breaks in coverage […]
On June 26, the CBO released its score of the Senate’s version of the repeal and replace act, the “Better Care Reconciliation Act.” According to the CBO, the Senate bill would save roughly $321 billion over 10 years–$202 billion more […]
On June 22, 2017, the Senate released a discussion draft of its version of the House’s “American Health Care Act.” The Senate’s “Better Care Reconciliation Act of 2017” includes many of the provisions of the House bill, including significant cuts to the Medicaid […]
On May 16, CMS released a 1332 Innovation Waiver Checklist intended to assist states in seeking waivers of Affordable Care Act requirements to allow for the establishment of high-risk pools and state operated reinsurance programs. CMS hopes the new tool […]
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