CMS Approves Additional 1115 and 1135 Waivers to Empower State Medicaid...
This week CMS continued its rapid response—average approval takes less than a week—to review and approve Social Security Act Section 1115(c) Appendix K and Section 1135 waivers to facilitate state...
View ArticleMedicare Agency Announces More Telehealth and Virtual Care Service Expansions...
On April 30, 2020, the Centers for Medicare and Medicaid Services (CMS) announced a second round of regulatory waivers and rule changes in an interim final rule with comment (IFC) that added...
View ArticleRequired Coverage of COVID-19 Testing for Essential Workers in California
On July 17th, the California Office of Administrative Law (“OAL”) approved an emergency regulation (effective until January 14, 2021) from the California Department of Managed Health Care (“DMHC”) that...
View ArticleHHS Proposes a New Rule to Govern Release and Maintenance of Agency’s...
On August 20, 2020 the Department of Health and Human Services (HHS) published a notice of proposed rulemaking (85 Fed. Reg. 51397) on good practices for the release and maintenance of agency guidance...
View ArticleHHS Approves Telecommunications for Providing Medicare Home Health Services,...
On October 29, 2020, CMS issued the Home Health Prospective Payment System final rule [CMS-1730-F, CMS-1744-IFC, and CMS-5531-IFC], which permanently authorizes use of telecommunications technology as...
View ArticleCMS Innovation Center Announces New Strategic Direction Under the Biden...
Today, CMS released its strategy for the CMS Innovation Center (the “Strategy”) in a White Paper, Innovation Center Strategy Refresh. This Strategy and the connection to broader CMS priorities was...
View ArticleCMS Innovation Center Redesigns Direct Contracting Entity Model, Launches ACO...
CMS Administrator Chiquita Brooks-LaSure and CMS Innovation Center Director Elizabeth Fowler continue to forge ahead with the Biden-Harris Administration’s plans to evaluate and streamline the...
View ArticleState PBM Regulation: The Struggle Continues – Oklahoma District Court Latest...
On April 4, 2022, in Pharmaceutical Care Management Association (PCMA) v. Mulready, Case No. CIV-19-977-J (W.D. Okla. 2022), the U.S. District Court for the Western District of Oklahoma ruled on PCMA’s...
View ArticleCMS Delays but Finalizes Changes on Network Adequacy
The final rule implementing “Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs” is now available for review, and set for...
View ArticleChanging Hands, Not Washing Them: CMS’ First Report on Nursing Home M&A Data
Last week, the Centers for Medicare & Medicaid Services (CMS) released data—for the first time—reporting on mergers, acquisitions, consolidations, and changes of ownership of Medicare enrolled...
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