Maine seeks approval for Medicaid work, cost-sharing requirements

AHA News Now

The Maine Department of Health and Human Services recently applied to the Centers for Medicare & Medicaid Services for a Section 1115 demonstration waiver to implement certain work and cost-sharing requirements for “able-bodied” adults in the state’s Medicaid program. Jeffrey Austin, vice president of... read more

Tag: Medicaid

AHA urges CMS to delay FY 2018 state Medicaid DSH reductions

AHA News Now

Commenting today on the Centers for Medicare & Medicaid Services’ proposed rule implementing the Affordable Care Act’s reductions to the state Medicaid Disproportionate Share Hospital allotments, AHA said it continues to advocate for the repeal of the reductions and urged the agency to delay implementing... read more

Topic: Advocacy and Public Policy
Tag: Medicaid

CMS issues IMD payment guidance for Medicaid/CHIP managed care

AHA News Now

The Centers for Medicare & Medicaid Services today issued answers to frequently asked questions about payments to Medicaid and Children’s Health Insurance Program managed care organizations and prepaid inpatient health plans for patients in an institution for mental disease. Under a final rule last year... read more

Topic: Advocacy and Public Policy
Tags: child health, Medicaid, regulation, Mental health, Behavioral health

CMS raises concerns with hospital donations to help fund Medicaid expansion

AHA News Now

The Centers for Medicare & Medicaid Services recently agreed to allow the New Hampshire Health Protection Program to continue unchanged through 2018, but said the state will need to change how it finances the non-federal share of the program in the future. One of 31 expansion states, New Hampshire created... read more

Topic: Advocacy and Public Policy
Tags: Coverage, Medicaid

CMS extends FL Medicaid demonstration waiver

AHA News Now

The Centers for Medicare & Medicaid Services last week extended Florida’s Managed Medical Assistance section 1115 demonstration waiver through 2022. It allows the state to operate a capitated Medicaid managed care program and low-income pool to provide continuing support for safety-net providers that... read more

Topic: Access and Coverage
Tag: Medicaid

CMS announces MLR credibility adjustments for Medicaid/CHIP plans

AHA News Now

The Centers for Medicare & Medicaid Services today published the medical loss ratio credibility adjustments for Medicaid and Children’s Health Insurance Program managed care plans for rating periods beginning July 1, 2017 or later. CMS’s 2016 final rule for Medicaid and CHIP managed care plans included... read more

Topic: Advocacy and Public Policy
Tags: child health, Coverage, Medicaid

CMS proposed rule outlines state Medicaid DSH allotment reductions

AHA News Now

The Centers for Medicare & Medicaid Services today issued a proposed rule that delineates a methodology for implementing the Affordable Care Act aggregate reductions to state Medicaid Disproportionate Share Hospital allotments beginning in fiscal year 2018. The ACA reduces state Medicaid DSH allotments... read more

Topic: Advocacy and Public Policy
Tags: Medicaid, regulation

CMS extends ground ambulance, home health moratoria

AHA News Now

The Centers for Medicare & Medicaid Services today extended for another six months its moratoria on enrollment of new Medicare home health agencies in Florida, Illinois, Michigan and Texas, and on new Part B non-emergency ground ambulance suppliers in New Jersey, Pennsylvania and Texas. The extension also... read more

Topic: Advocacy and Public Policy
Tags: Medicare, Medicaid, regulation, home health

Medicaid expansion states report easier access to behavioral health care

AHA News Now

Up to one in three Medicaid expansion enrollees received outpatient behavioral health treatment in 2014 in four states examined by the Government Accountability Office: Iowa, New York, Washington and West Virginia. Officials in the three states expanding Medicaid to this population for the first time said... read more

Topic: Access and Coverage
Tags: Coverage, Medicaid, Behavioral health

Revised BCRA released; straight repeal scored

AHA News Now

Senate leaders today released a revised draft of the Better Care Reconciliation Act, legislation to repeal and replace the Affordable Care Act. The updated bill omits an amendment by Sen. Ted Cruz (R-TX) that would have allowed insurers who sell a minimum number of compliant health plans on the... read more

Topic: Advocacy and Public Policy
Tags: Coverage, Medicaid

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