Medicaid

May 23, 2018
In comments submitted yesterday, AHA strongly urged the Centers for Medicare & Medicaid Services to withdraw a proposed rule that would exempt states with high Medicaid managed care enrollment or that propose “nominal” rate reductions from requirements to assess whether their Medicaid fee-for-…
May 23, 2018
AHA comments on the CMS proposed rule to amend requirements that states assess their Medicaid fee-for-service provider payments to determine if they are sufficient to ensure beneficiary access to covered services.
May 18, 2018
In January 2018, the Centers for Medicare & Medicaid Services issued guidance setting forth the standards it will apply in granting state waivers conditioning Medicaid eligibility on compliance with work and community engagement requirements.
May 16, 2018
AHA letter to Representatives Greg Walden, and Frank Pallone expressing support for The Limited Repeal of the IMD Exclusion for Adult Medicaid Beneficiaries with Substance Use Disorder Act. 
May 15, 2018
The Centers for Medicare & Medicaid Services today updated the Parts B and D drug spending dashboards with 2016 information. The dashboards provide pricing and utilization information for drugs covered under Medicare Parts B and D, including the total amount the program spent on a covered drug…
May 8, 2018
The Centers for Medicare & Medicaid Services yesterday authorized New Hampshire to require certain adults in its Medicaid premium assistance program to work or participate in other “community engagement” activities, such as job training, at least 100 hours per month to remain eligible. The…
Apr 26, 2018
The House Energy and Commerce Health Subcommittee yesterday advanced to the full committee a number of AHA-supported bills to address the opioid crisis. The bills would amend the Medicaid Institutions for Mental Disease exclusion; cover IMD substance use disorder treatment for pregnant women up to…
Apr 17, 2018
Current state proposals to require certain Medicaid beneficiaries to participate in work, training or other “community engagement” activity to remain eligible for coverage could affect more than 1.7 million enrollees and nearly $8 billion in program expenditures, according to an analysis released…
Apr 13, 2018
The Centers for Medicare & Medicaid Services is appealing a federal court decision that barred the agency from enforcing in Missouri a 2017 final rule and earlier guidance that included private insurance and Medicare payments when calculating the Medicaid shortfall component of the hospital-…
Apr 13, 2018
Delaware hospitals contributed almost $348.9 million in community benefits to the state in fiscal year 2016, according to a new report by the Delaware Healthcare Association. The total includes the value of community benefit programs, charity care, bad debt, and payment shortfalls attributed to…