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CMS Approves All-Payer ACOs and a New Take on Medicaid Delivery System Reform Investment in Vermont

Oct 27, 2016 | Medicaid, News and Updates, Waivers

Oct. 24, 2016: CMS has approved Vermont’s Medicaid 1115 demonstration program, an important component of the state’s all-payer Accountable Care Organization (ACO) model. The initiative, which also has received funding from the CMS Center for Medicare and...

CMS Releases 2017 Medicaid Managed Care Rate Development Guide, but New Provider Payment Provisions Remain to be Addressed

Oct 27, 2016 | Medicaid Managed Care, Medicaid Managed Page, News and Updates

Oct. 27, 2016: CMS has issued its Medicaid Managed Care Rate Development Guide for rating periods starting between January 1, 2017 and June 30, 2017.  A number of critical provisions from the new regulations, including provisions related to special contract provisions...

CMS Announced Final FY 2014 and Preliminary FY 2016 DSH Allotments

Oct 26, 2016 | DSH, News and Updates

October 25, 2016: CMS issues notice announcing limit on the portion of federal dollars allocated to match state DSH hospital payments for the FY.

CMS Sends Medicaid Pass-Through Payment Proposed Rule to OMB

Oct 21, 2016 | Medicaid Managed Care, Medicaid Managed Page, News and Updates, Rulemaking

Oct. 19, 2016: CMS submitted to the Office of Management and Budget for review a proposed rule that would presumably limit the ability of states to create new or increased pass-through payments to providers in their Medicaid managed care programs.  The agency...

CMS Publishes Request for Information Expressing Concern with Premium Assistance

Aug 23, 2016 | ACA, News and Updates

August 23, 2016:  CMS Publishes Request for Information Expressing Concern with Premium Assistance Arrangements that Steer Patients from Medicare and Medicaid into Marketplace Plans
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