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March 21, 2018 | Daily News

Mental health advocates and Medicaid managed care plans are cheering the Trump administration's proposal to allow Medicaid to pay for substance abuse treatment in large residential facilities, but so far it has gotten little traction in Congress, and one industry analyst said its chances of passing remain less than 50 percent.

March 19, 2018 | Daily News

A federal judge struck down part of an HHS rule requiring private actuaries to certify Medicaid capitation rates, a decision that could free states from having to absorb the costs of a tax on Medicaid managed care organizations imposed by the Affordable Care Act.

March 16, 2018 | Daily News

CMS Medicare-Medicaid coordination office is asking for plans’ advice on implementing a unified appeals process for dually eligible beneficiaries and for integrating Medicare and Medicaid benefits for Duals Special Needs Plans.

March 14, 2018 | Daily News

The White House Office of Management and Budget is reviewing a rule on fee-for-service Medicaid beneficiaries' access to care and exceptions in states that mostly use managed care, and a key beneficiary advocate who formerly worked at CMS said stakeholders are looking to find out whether the proposed rule codifies guidance released last fall or goes further.

March 12, 2018 | Daily News

Clinical laboratories asked CMS Friday (March 9) to dissuade states from cutting Medicaid reimbursement for lab tests because Medicare already is cutting reimbursement for those tests, and Medicaid rates are tied to Medicare reimbursement in many states.

March 08, 2018 | Daily News

State proposals to impose lifetime coverage limits on Medicaid beneficiaries are “outside the statutory objectives for the Medicaid program” and should be rejected by CMS, Democrats on the House Energy & Commerce Committee said in a letter to HHS Secretary Alex Azar sent Thursday (March 8).

March 07, 2018 | Daily News

North Carolina's top health official said Wednesday (March 7) that she opposes work requirements in Medicaid but is open to including them in the state's Medicaid program if they are paired with Medicaid expansion.

March 06, 2018 | Daily News

The Kentucky Association of Health Plans wants to intervene on the side of the Kentucky governor in his lawsuit asking a federal court to validate the state's Medicaid work requirements, and the Kentucky Hospital Association may not be far behind.

March 05, 2018 | Daily News

HHS Secretary Alex Azar told hospital officials that Accountable Care Organizations have produced underwhelming results, but he promised that the Trump administration will be more successful than its predecessors in achieving value-based care.

March 05, 2018 | Daily News

Arkansas became the third state to obtain federal permission to add work requirements to its Medicaid program on Monday (March 5), but CMS postponed a decision on Arkansas’ proposed rollback of its Medicaid expansion.

March 02, 2018 | Daily News

Congress’ Medicaid advisory commission is calling on HHS to clarify what the commission described as widespread confusion among providers and patients over a 46-year-old privacy law intended to protect the privacy of people treated for drug addiction.

February 28, 2018 | Daily News

Opioid-related hospitalizations increased between 2013 and 2015 as some states instituted Medicaid expansion, but the percentage of those where the patient was uninsured fell more sharply in expansion states, according to a report released Wednesday (Feb. 28) by the Center on Budget and Policy Priorities.

February 26, 2018 | Daily News

Kentucky Medicaid beneficiaries who are suing the federal government over work requirements in the program are fighting the government's request to transfer the case from Washington, DC to a Republican-appointed judge in Kentucky.

February 26, 2018 | Daily News

A new Government Accountability Office report finding insufficient oversight of Medicaid 1115 waivers has reignited a debate over whether the waivers should be used solely to launch and evaluate pilot projects, as the law states, or whether CMS and states should use them as a back door to enshrine wide-ranging policy changes.

February 23, 2018 | Daily News

A bipartisan group of governors that worked on alternatives to the GOP's Affordable Care Act repeal bills released a new proposal to fix up the nation’s health care system, focusing on lowering costs, stabilizing markets, expanding Medicaid and allowing states increased flexibility to innovate under existing programs.

February 23, 2018 | Daily News

Republican House Energy & Commerce leaders are asking HHS Secretary Alex Azar how he plans to fix the Medicare appeals backlog, the Medicaid improper pay rate and Medicaid financial reporting problems.

February 21, 2018 | Daily News

State officials and the National Academy for State Health Policy compiled policies to help states negotiate cheaper drug prices that include closed formularies, specialty pharmacy networks and a joint federal-state Medicaid Technical Advisory Group.

February 20, 2018 | Daily News

Kentucky filed what lawyers say is an unusual counter-suit against Medicaid beneficiaries who are challenging the state's plan to impose work requirements, premiums, lock-out periods and other new provisions in its Medicaid program.

February 20, 2018 | Daily News

Virginia moved one step closer to adopting Medicaid expansion over Presidents' Day weekend, as Republicans in the state's House of Delegates proposed a budget that would expand eligibility while imposing work requirements in the program.

February 14, 2018 | Daily News

More states plan to join those seeking federal permission to add work requirements to their Medicaid programs, even as the trend faces backlash from California and congressional Democrats.