The Centers for Medicare & Medicaid Services Sept. 30 released guidance to states clarifying its interpretation of a provision that authorizes federal financing to pay for emergency Medicaid services for undocumented patients ineligible for full Medicaid benefits. CMS said federal financing is available only “for care and services necessary for the treatment of an emergency medical condition actually furnished (i.e., rendered)” and that Medicaid managed care payments, including risk-based capitation payments, do not qualify for federal financing as emergency Medicaid services. States can still cover such services through fee-for-service Medicaid or through certain non-risk managed care contracts. States will have one year from the guidance’s publication date to become compliant.

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A new AHA blog examines a Department of Health and Human Services issue brief that claims Medicaid hospital provider taxes increase employer-sponsored…
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A recent issue brief from the Department of Health and Human Services asserts that Medicaid hospital provider taxes raise employer-sponsored insurance premiums…
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The U.S. District Court for the District of Massachusetts yesterday ruled in favor of 25 states and the District of Columbia to vacate the Centers for Medicare…
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Extending Medicaid coverage by 12 months following childbirth increased use of postpartum care among mothers with pregnancy complications such as diabetes and…
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The Department of Health and Human Services Office for Civil Rights released new guidance on statutory and regulatory requirements under 42 CFR Part 2, which…
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The Centers for Medicare & Medicaid Services Sept. 25 announced the launch of a new initiative measuring quality in Medicaid and the Children’s Health…