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advancing medicaid

The proposed rule, issued by CMS, aims to advance Medicaid prescription drug value-based purchasing arrangements between states and manufacturers, set standards to promote safe opioid prescribing, and amend regulations related to the Medicaid drug rebate program.

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advancing medicaid

The report, requested by Republican representatives, details challenges states face in administering Medicaid programs, including with coverage exclusions and care coordination, coverage benefits and eligibility, and Medicare and Medicaid alignment.

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advancing medicaid

Several states, including Missouri and Oklahoma, will vote this year on whether to expand Medicaid. However, the topic of expansion will remain unaddressed in several states this year; for example, plans to include expansion on the 2020 ballot in Florida now have been pushed to 2022.

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advancing medicaid

In a letter, America's Essential Hospitals urged the agency to reopen the comment period for the Medicaid Fiscal Accountability Regulation to allow stakeholders to address the proposed rule's impact, as the COVID-19 pandemic has fundamentally altered the health care and economic landscapes.

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advancing medicaid

Virginia and Washington have paused proposals to extend Medicaid postpartum coverage for low-income women, due to budget constraints resulting from the pandemic. States are engaged in contact tracing to curb the spread of COVID-19, and 24 states enacted budgetary measures related to the emergency.

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advancing medicaid

In addition to efforts targeting surprise medical bills, governors are asking the administration to allow Medicaid retainer payments during the COVID-19 pandemic. Meanwhile, the administration has approved Section 1135 waivers for 47 states, the District of Columbia, and the U.S. Virgin Islands.

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advancing medicaid

In its March report to Congress, the Medicaid and CHIP Payment and Access Commission included chapters analyzing Medicaid disproportionate share hospital payments, state readiness to report on core quality measure sets, and Section 1115 waiver evaluations.

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advancing medicaid

In a new Modern Healthcare commentary, association President and CEO Bruce Siegel explains that the proposed Medicaid Fiscal Accountability Regulation would do more to shrink Medicaid than to contribute to program integrity and transparency.

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advancing medicaid

Administrator Verma writes that provisions of the Medicaid Fiscal Accountability Regulation are meant to ensure transparent and lawful use of taxpayer resources to fund Medicaid. She contends that nothing in the proposal is meant to reduce Medicaid funding or prohibit supplemental payments.

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advancing medicaid

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.

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advancing medicaid

In its submitted comments, the association outlines overarching and specific problems that necessitate withdrawal of the rule to protect the stability and viability of the Medicaid program.

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advancing medicaid

America's Essential Hospitals encourages members to share their concerns about the Medicaid Fiscal Accountability Regulation with Congress and CMS. Meanwhile, the House returns to health care business after a one-week recess, and the Senate impeachment trial continues.

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advancing medicaid

CMS issued a request for information seeking input on coordinating care from out-of-state providers for medically complex children who are eligible for Medicaid coverage. The agency will use the information collected to produce guidance to state Medicaid directors.

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advancing medicaid

The statutorily required report reviews rules and oversight for institutions for mental disease in seven states. Meanwhile, CMS announced it will integrate the psychiatric hospital program survey into its larger survey to determine compliance with Medicare conditions of participation.

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advancing medicaid

America's Essential Hospitals warns the Centers for Medicare & Medicaid Services that its proposal will weaken federal oversight of Medicaid payment rates and undermine beneficiary access to care.

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advancing medicaid

The final rule revises the criteria that determines whether an individual seeking to enter the country or become a lawful permanent resident could become a public charge.

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advancing medicaid

To facilitate multi-payer alignment for ambulance services, the Center for Medicare and Medicaid Innovation will provide an interactive learning system with targeted learning opportunities for state Medicaid programs.

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advancing medicaid

Two informational bulletins outline information on services for infants via residential pediatric recovery centers and a limited exception to the institutions for mental disease exclusion for pregnant and postpartum women with substance use disorder.

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advancing medicaid

The Centers for Medicare & Medicaid Services has refreshed data for the Medicaid and Children’s Health Insurance Program Scorecard, which reflects states’ progress in strengthening their reporting of patient health outcomes.

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advancing medicaid

The expansion, which takes effect in 2020, applies to low-income residents ages 19 to 25, regardless of immigration status. The state estimates more than 100,000 undocumented young adults will be eligible for the expanded coverage.

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advancing medicaid

The agency proposes to rescind the requirement due to states' concerns regarding undue administrative burden.

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advancing medicaid

A Commonwealth Fund report reviews 36 state Medicaid quality strategies for advancing primary care, a key factor in achieving a high-performing health system.

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advancing medicaid

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.

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advancing medicaid

The legislation allows states to establish Medicaid health homes to coordinate complex care for children and provides $20 million in additional funding for the "Money Follows the Person" demonstration program, among other provisions.

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advancing medicaid

As the partial government shutdown continues, the House this week will consider the Pandemic and All-Hazards Preparedness and Advancing Innovations Act and a bill to extend funding for the "Money Follows the Person" demonstration program.

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advancing medicaid

House and Senate Democratic leaders vowed to pursue legislation to intervene after a judge ruled the Affordable Care Act unconstitutional; negotiations continue on a spending package to fund portions of the federal government before current funding expires on Dec. 21.

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advancing medicaid

The proposed rule reflects the agency’s broader strategy to relieve regulatory burden, support state flexibility, and promote transparency and innovation in the delivery of care.

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advancing medicaid

Government Relations Academy alumnae Elisa Hernández and Amy Carta share their experiences in the program and the value of applying new advocacy tools.

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advancing medicaid

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.

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advancing medicaid

A change brought by passage of the 21st Century Cures Act will ensure coverage for early and periodic screening, diagnostic, and treatment services for children under age 21 receiving inpatient psychiatric hospital services.

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advancing medicaid

Communities rely on essential hospitals for trauma and other lifesaving care, physician training, emergency response, and other vital services. Essential hospitals, in turn, rely on policymakers for support to keep these services available to all. Learn more about this careful balance.

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advancing medicaid

In this new policy brief, America's Essential Hospitals examines Section 1115 waivers that use a market-based approach to expanding Medicaid.

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advancing medicaid

The letter affirms their desire to improve the Medicaid program and the vulnerable people it serves and to ensure the program provides value to taxpayers.

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advancing medicaid

These long-term HCBS services and supports are critical to ensure people can remain in their homes and communities as they receive treatment.

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advancing medicaid

Failure to follow the public notice and process for Medicaid payment changes can result in delay or disapproval of state plan amendments.

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advancing medicaid

The complimentary webinar series will focus on key provisions of the April 25 final rule for selected topics.

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advancing medicaid

States now have until Oct. 1 to submit plans. Agency continues to omit hospital services from the list of core services subject to review.

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advancing medicaid

Regulation provides more robust mental health, substance use care options for those in Medicaid alternative benefit plans, CHIP, and Medicaid managed care.

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advancing medicaid

As we mark 50 years of Medicaid and Medicare, we reflect on the experiences of others within and beyond the four walls of essential hospitals.

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advancing medicaid

Los Angeles County Department of Health Services is using county health funds to house and care for the homeless. California wants to with Medicaid funds.

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advancing medicaid

Topics include Medicare Advantage, the ACA's medical device tax, Medicaid fraud and abuse, and the Medicare appeals process.

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advancing medicaid

Proposed rule would better align regulations with those for commercial, health insurance marketplace, and Medicare Advantage plans

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advancing medicaid

America's Essential Hospitals President and CEO, other Partnership for Medicaid co-chairs, call partnership proposal the answer to lack of comprehensive, standardized reporting framework

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advancing medicaid

Justices weigh arguments for allowing providers to sue states over low payment rates - and I was there

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advancing medicaid

Explore Medicaid alternative payment models, which states have increasingly used to improve health care quality and lower costs.

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advancing medicaid

Report says funding approaches lack adequate oversight; CMS counters with review of existing safeguards and effect of economic downturn.

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advancing medicaid

Congress considers Veteran Affairs, Medicare, and immigration bills as August recess nears; House holds hearing on state Medicaid funding.

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advancing medicaid

Government relations staff will share their experiences with Medicaid expansion, including challenges and best practices

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advancing medicaid

Association develops entitlement reform principles to guide possible future discussions around changes to the Medicare and Medicaid programs.

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