CMS Webinar on End of COVID-19 PHE
May 2, 2023 ||The May 5 webinar will feature CMS experts sharing how the end of the PHE will affect current health care waivers and flexible policies.
view more »The May 5 webinar will feature CMS experts sharing how the end of the PHE will affect current health care waivers and flexible policies.
view more »America’s Essential Hospitals, the American Hospital Association, the Association of American Medical Colleges, and the Federation of American Hospitals are pleased to invite you to a call with the Centers for Medicare & Medicaid Services.
view more »CMS approved Colorado's Section 1332 waiver application to create a state-based standard health benefit plan.
view more »The Centers for Medicare & Medicaid Services announced the Acute Hospital Care at Home program to further increase hospital capacity during the COVID-19 crisis, in response to a rising number of hospitalizations nationwide. The program builds on the Hospitals Without Walls initiative.
view more »The Centers for Medicare & Medicaid Services on April 30 issued a second round of waivers and rule changes to provide flexibility to hospitals and improve access to testing for beneficiaries. These changes update waivers issued March 30 to address patient surge.
view more »CMS issued several checklists and templates for state Medicaid and the Children's Health Insurance Program agencies to request regulatory relief and flexibility to respond to the COVID-19 outbreak.
view more »This decision is the latest of several court cases invalidating work requirements policies in Medicaid; Utah now is the only state with these requirements in effect. It is unknown at this time if Michigan or the Department of Health and Human Services will appeal the decision.
view more »In the unanimous decision, the United States Court of Appeals for the District of Columbia Circuit found that the Department of Health and Human Services failed to adequately assess the potential impact of work requirements on coverage under Arkansas' Section 1115 demonstration waiver.
view more »CMS issued guidance outlining how states can receive a block grant or per-capita cap in exchange for additional administrative flexibility. Through a Section 1115 demonstration waiver, these new financing arrangements would apply to coverage of optional Medicaid patient populations.
view more »The tools include a checklist of required waiver elements and model templates to help states better understand their options and the waiver approval process.
view more »In a new request for information, the agency seeks ideas for innovative programs and waiver concepts states could consider in developing Section 1332 waivers. The request follows October 2018 guidance aimed at increasing state flexibility.
view more »The court ruled that the Department of Health and Human Services overstepped its authority and failed to show that work requirements would help promote the purpose of the Medicaid program
view more »The guidance allows states additional flexibility to waive certain provisions of the Affordable Care Act while preserving access to affordable, comprehensive coverage.
view more »The Centers for Medicare & Medicaid Services is waiving program requirements and suspending enforcement activities in Florida and Georgia.
view more »The Centers for Medicare & Medicaid Services waived program requirements in Virginia, North Carolina, and South Carolina; the Centers for Disease Control & Prevention issued guidance for treating carbon monoxide poisoning in hurricane victims.
view more »The decision strikes down the state's overall Section 1115 waiver, which included community engagement and work requirements, but it upholds as a separate waiver a portion allowing Medicaid reimbursement for substance use disorder treatment in institutions for mental disease.
view more »CMS approved Oklahoma's proposal to advance Medicaid value-based arrangements with drugmakers in negotiating supplemental rebate agreements; The agency rejected Massachusetts' request to institute a closed formulary for Medicaid outpatient prescription drugs.
view more »The waiver extensions fund Texas' uncompensated care pool and delivery system reform incentive payment program and provide family planning services for low-income individuals in Mississippi for 10 years.
view more »A publicly released set of slides describes dramatic restrictions to CMS' budget neutrality policy for Section 1115 waivers.
view more »This is the second Section 1332 State Innovation Waiver to receive approval; Alaska is pursuing the waiver to stabilize the state's individual health care market.
view more »The new checklist tool helps states compile the necessary documents to apply to waive ACA provisions and pursue alternative reforms.
view more »The letter encourages states to pursue Section 1332 State Innovation Waivers, especially those including high-risk pool/state-operated reinsurance programs.
view more »Congressional staff continue negotiating omnibus appropriations package, which is expected to go to a vote by Dec. 11; Sen. Wyden asks HHS for update on progress of state 1332 waivers.
view more »Learn more about the content and tone of recent conversations about DSRIP efforts.
view more »The third in a series of waiver-related briefs, this research brief summarizes perspectives from hospital leaders in Massachusetts, California, and Texas.
view more »Pennsylvania will expand Medicaid through a private option, requiring some enrollees to pay premiums.
view more »Learn how Texas' approach to DSRIP waivers fosters partnerships and increases the focus on community needs
view more »America’s Essential Hospitals released a policy brief that discusses approaches to extending the reach of health care transformation through Medicaid waiver incentive programs.
view more »CMS will not approve SPAs that include non-bona fide donations as a portion, or all, of the non-federal share of Medicaid payments. Payment methodologies contingent upon the receipt of a non-bona fide donation would also be grounds for disapproval of an SPA.
view more »Learn how delivery system transformation initiatives helped BMC improve quality
view more »An overview of existing delivery system reform incentive pools and similar models
view more »Learn about Santa Clara Valley Medical Center's experience with the DSRIP
view more »ACOs are responsible for quality, cost, and overall care of Medicare beneficiaries
view more »Section 1115 projects give states additional authority to design, improve Medicaid and CHIP programs
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