Feb 24, 2017 | ACA, Legislation, News and Updates
On February 24th 2017, a leaked draft of the House Republican bill to repeal the ACA was obtained by multiple news publications. The bill would institute per capita caps into the Medicaid program and roll back the program’s overall spending. It would set aside...
Feb 1, 2017 | Directed Payments, Medicaid Managed Care, Medicaid Managed Page, News and Updates, Rulemaking
Just prior to the end of the Obama administration, on January 18, 2017, CMS published a final rule limiting the ability of states to create new or increased pass-through payments to providers in their Medicaid managed care programs. The rule’s effective date was...
Dec 13, 2016 | News and Updates, Rulemaking
Following the release of a Request for Information in August, CMS issued an interim final rule on December 12 requiring dialysis facilities that offer premium assistance for individual market health plans, whether directly or through a third party, to educate patients...
Nov 10, 2016 | Directed Payments, Medicaid Managed Care, Medicaid Managed Page, News and Updates
On Nov. 10, 2016, CMS issued its first set of Frequently Asked Questions on the Medicaid Managed Care Final Rule published in May. For more information on the Final Rule and the latest explanatory guidance, see our Medicaid Managed Care Resources Page. ...
Nov 2, 2016 | DSH, News and Updates
October 27, 2016: At its October meeting, the Medicaid and CHIP Payment and Access Commission (MACPAC) considered policies to improve targeting of Medicaid Disproportionate Share Hospital (DSH) payments, with respect to both hospitals and states, but did not come to...