The Centers for Medicare & Medicaid Services Dec. 4 released an interim final rule implementing new enforcement authorities the agency will use if states fail to comply with new reporting requirements as they restore Medicaid eligibility and enrollment operations following the end of the Medicaid continuous enrollment condition. The Consolidated Appropriations Act of 2023 gave CMS new enforcement authority to require states to submit a corrective action plan, suspend disenrollments from Medicaid for procedural reasons, impose civil money penalties, and apply a reduction to the state-specific Federal Medical Assistance Percentage for failure to meet reporting requirements. The rule takes effect Dec. 6 with comments accepted through Feb. 2.

Related News Articles

Headline
An analysis by KFF released last week found that in 2022, Medicare spent 27% ($2,585) more, on average, for individuals covered by Traditional Medicare after…
Headline
A House Dear Colleague letter calling on House leadership to address scheduled Medicaid Disproportionate Share Hospital payment cuts received signatures from…
Headline
The AHA Dec. 9 said it supports a potential Medicare $2 Drug List Model, where people enrolled in a Part D plan would have access to certain prescription drugs…
Headline
In comments Dec. 9 to the Medicare Payment Advisory Commission, the AHA shared its views on physician fee schedule payments, advanced alternative payment model…
Headline
The Centers for Medicare & Medicaid Services Dec. 4 announced that drug manufacturers bluebird bio, inc. (manufacturer of Lyfgenia) and Vertex…
Headline
The Centers for Medicare & Medicaid Services Nov. 26 proposed changes to the Medicare Advantage and prescription drug programs for contract year 2026.…