Jan. 31, 2017: HRSA has withdrawn its 340B Program Omnibus Guidelines. HRSA’s Office of Pharmacy Affairs (OPA) first issued the guidance, which would have dramatically restricted key elements of the program, in August 2015. OPA submitted the final version of the […]
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 […]
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 Medicaid Innovation, seeks […]
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 […]
October 25, 2016: CMS issues notice announcing limit on the portion of federal dollars allocated to match state DSH hospital payments for the FY.
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. […]
September 1, 2016: The 340B Omnibus Guidance notice is back at the Office of Management and Budget for review before issuance, just over a year after publication of the proposed version of the notice.
August 12, 2016: CMS Proposes Rule to Codify Medicaid DSH Limit Policy Currently the Subject of Federal Lawsuits
August 11, 2016: HRSA Proposes Dispute Resolution Process for 340B Discount Program
July 29, 2016: CMS releases guidance on Pass-Through Payments in Medicaid Managed Care