Medicaid

The Centers for Medicare & Medicaid Services yesterday released two rules, one final and one proposed, to address eligibility and appeals processes for the Medicaid and CHIP programs. The final rule completes the agency’s work related to appeals, notices and Medicaid eligibility changes…
CMS on Nov. 18 published a proposed rule that would limit states' ability to increase or create new pass-through payments for hospitals, physicians or nursing homes under Medicaid managed care contracts.
More than 15.7 million people enrolled in Medicaid or the Children’s Health Insurance Program between Oct. 1, 2013 and Aug. 31, 2016, increasing total enrollment in the programs by 28% since the start of the first open enrollment period for the Health Insurance Marketplace, according to a report…
CMS published in the Aug. 15 Federal Register a proposed rule on Medicaid disproportionate share hospital payments regarding the treatment of third-party payers in calculating uncompensated care.
Nine in 10 large employers will make telehealth services available next year to employees in states where it is allowed, up from 70% this year, and virtually all will offer telemedicine by 2020, according to the latest annual survey by the National Business Group on Health. The Large Employers…
Press Release Statement on Centers for Medicare and Medicaid Services (CMS) overall hospital star ratings   Rick Pollack President and CEO American Hospital Association July 27, 2016
The Centers for Medicare & Medicaid Services has approved Arizona’s plan to allow new enrollment in the Children’s Health Insurance Program. “Today’s approval is a step forward for the health of Arizona children in low-income families,” said Vikki Wachino, CMS deputy administrator and…
Press Release Statement On House Bill Delaying CMS Star Ratings Tom Nickels Executive Vice President Government Relations and Public Policy July 25, 2016
Health care providers and other stakeholders may email questions and concerns regarding the Centers for Medicare & Medicaid Services’ final rule applying certain provisions of the Mental Health Parity and Addiction Equity Act of 2008 to Medicaid managed care organizations, Medicaid…