Medicaid
The Centers for Medicare & Medicaid Services today proposed changes to the Payment Error Rate Measurement and Medicaid Eligibility Quality Control programs to reflect how states adjudicate eligibility for Medicaid and the Children’s Health Insurance Program under the Affordable Care Act. The…
Supreme Court issues decision in False Claims Act case.
The Centers for Medicare & Medicaid Services yesterday awarded $32 million in grants to find and enroll eligible children in Medicaid and the Children's Health Insurance Program.
The Centers for Medicare & Medicaid Services late today issued a proposed rule that would update and revise conditions of participation that hospitals and critical access hospitals must meet to participate in Medicare and Medicaid.
CMS Issues Final Rule on Medicaid and CHIP Managed Care
The Centers for Medicare & Medicaid Services this afternoon issued its long awaited final rule on Medicaid managed care; the first major update in more than a decade. The final rule tracks closely to the proposed rule and would provide new standards for managed care provider networks,…
Nearly 15 million people enrolled in Medicaid or the Children’s Health Insurance Program between Oct. 1, 2013 and Jan. 31, 2016, increasing total enrollment in the programs by 26.5% since the start of the first open enrollment period for the Health Insurance Marketplace, according to a report …
Almost 28% of uninsured U.S. residents under age 65 are eligible for Medicaid or the Children’s Health Insurance Program, while 21% are eligible for premium tax credits through the Health Insurance Marketplaces, according to a new report by the Urban Institute and Robert Wood Johnson…
The Centers for Medicare & Medicaid Services (CMS) yesterday issued a final rule applying certain provisions of the Mental Health Parity and Addiction Equity Act (MHPAEA) of 2008 to Medicaid managed care organizations, Medicaid alternative benefit plans (ABPs) and the Children's Health…
The Centers for Medicare & Medicaid Services today issued a final rule applying certain provisions of the Mental Health Parity and Addiction Equity Act of 2008 to Medicaid managed care organizations, Medicaid alternative benefit plans and the Children’s Health Insurance Program. The MHPAEA…