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. […]
August 12, 2016: CMS Proposes Rule to Codify Medicaid DSH Limit Policy Currently the Subject of Federal Lawsuits
July 29, 2016: CMS releases guidance on Pass-Through Payments in Medicaid Managed Care
CMS Issues Final Medicaid Managed Care Rule, Transitions Supplemental Pass-Through Payments for Providers
CMS Issues Updated Guidance on FQHC Payment Methodologies Under Managed Care, Requires Medicaid Plans to Include at Least One FQHC
CMS approves Alabama’s 1115 Medicaid waiver, establishing provider-based Regional Care Organizations and providing time limited incentive payments for quality improvement activities.
President’s FY2017 budget proposal includes additional incentives for states to expand Medicaid, permanent DSH rebasing, CHIP extension, extended Medicaid primary care pay bump and cuts to Medicare IME and bad debt.
MACPAC issues congressionally-mandated report on Medicaid DSH, recommends better targeting of funds to hospitals most in need.
Congress enacts Site Neutral Legislation policy denying outpatient hospital reimbursement to new offsite hospital clinics
CMS and OIG issue final fraud and abuse waivers for Medicare Shared Savings Program