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waiver

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.

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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.

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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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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.

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A publicly released set of slides describes dramatic restrictions to CMS' budget neutrality policy for Section 1115 waivers.

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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.

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The new checklist tool helps states compile the necessary documents to apply to waive ACA provisions and pursue alternative reforms.

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waiver

The letter encourages states to pursue Section 1332 State Innovation Waivers, especially those including high-risk pool/state-operated reinsurance programs.

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waiver

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.

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The third in a series of waiver-related briefs, this research brief summarizes perspectives from hospital leaders in Massachusetts, California, and Texas.

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waiver

Pennsylvania will expand Medicaid through a private option, requiring some enrollees to pay premiums.

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waiver

Learn how Texas' approach to DSRIP waivers fosters partnerships and increases the focus on community needs

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America’s Essential Hospitals released a policy brief that discusses approaches to extending the reach of health care transformation through Medicaid waiver incentive programs.

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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.

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Learn how delivery system transformation initiatives helped BMC improve quality

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An overview of existing delivery system reform incentive pools and similar models

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ACOs are responsible for quality, cost, and overall care of Medicare beneficiaries

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Section 1115 projects give states additional authority to design, improve Medicaid and CHIP programs

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