by keith | Nov 1, 2017 | DSH, Medicaid, Medicare, News and Updates, Rulemaking
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...
by keith | Nov 1, 2017 | 340B, News and Updates, Rulemaking
HRSA furthered delayed implementation of a final rule codifying the calculation of the 340B ceiling price, and implementing civil monetary penalties for manufacturers that knowingly and intentionally overcharge 340B providers. The final rule had been published on...
by keith | Jul 20, 2017 | 340B, News and Updates
In its proposed rule implementing changes to the Medicare Outpatient Prospective Payment System, CMS has proposed to reduce payments to hospitals for separately payable drugs that are eligible for discounts under the 340B Drug Pricing Program. Specifically, CMS would...
by keith | Jul 11, 2017 | Medicaid, News and Updates, Waivers
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...
by keith | Jun 30, 2017 | News and Updates
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...
