Medicaid

Jul 10, 2018
The Centers for Medicare & Medicaid Services today issued a proposed rule that would eliminate 2014 regulatory text allowing states to reassign Medicaid payments to third parties on behalf of certain providers, primarily independent in-home personal care workers, for benefits customary for…
Jul 2, 2018
A federal judge Friday voided the Department of Health and Human Services’ approval of a Kentucky Medicaid demonstration waiver that would require some adult beneficiaries to work or participate in other “community engagement” activities, such as job training or community service, to remain…
Jun 28, 2018
AHA today urged the Centers for Medicare & Medicaid Services to expand the data it makes available through standard analytic files and to share currently available data on a timelier basis. Specifically, AHA urged the agency to expand the files to include all Medicare Part B carrier and durable…
Jun 27, 2018
The Centers for Medicare & Medicaid Services today approved for Oklahoma the first state Medicaid plan amendment to allow supplemental rebate agreements involving value-based purchasing arrangements with drug makers. The value-based agreements could produce extra rebates for the state if…
Jun 26, 2018
The Centers for Medicare & Medicaid Services today announced several new Medicaid program integrity initiatives. Specifically, the agency will begin auditing select states based on the amount spent on clinical services and quality improvement versus administration and profit, including looking…
Jun 25, 2018
Michigan Gov. Rick Snyder Friday signed legislation that would require able-bodied adults aged 19 to 62 to work or participate in training or community service an average 80 hours per month to continue qualifying for Medicaid under the Healthy Michigan program. The state still must receive a waiver…
Jun 22, 2018
The House Budget Committee yesterday voted 21-13 to approve a fiscal year 2019 budget resolution that would balance the budget within nine years. Released earlier this week, the budget plan would cap non-defense discretionary spending at $597 billion and include reconciliation instructions for…
Jun 20, 2018
House Budget Committee Chairman Steve Womack (R-AR) yesterday released a fiscal year 2019 budget plan that would balance the budget within nine years. The plan would cap non-defense discretionary spending at $597 billion and include reconciliation instructions for the Ways and Means and Energy…
Jun 15, 2018
The Medicare Payment Advisory Commission today issued its June report to Congress, which includes the panel’s recent recommendation to reduce emergency department evaluation and management services payment rates by 30% for off-campus stand-alone EDs located within six miles of an on-campus…
Jun 12, 2018
June 12, 2018 Letter to the Senate Finance Committee leadership supporting the Helping to End Addiction and Lessen (HEAL) Substance Use Disorders Act of 2018. Read the full letter below.