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Medicaid

January 25, 2021 | Daily News

AARP has sued CMS over the Trump administration’s 2017 decision to stop imposing per-day fines on nursing homes that don’t meet certain CMS health and safety requirements.

January 24, 2021 | Daily News

The COVID-19 public health emergency is expected to continue through the end of 2021, Acting HHS Secretary Norris Cochran wrote in a Jan. 22 letter to governors, signaling the temporary 6.2% bump in federal Medicaid matching funds and a slew of other Medicare and Medicaid emergency waivers put in place during the pandemic will not end soon.

January 24, 2021 | Daily News

Experts say President Joe Biden could stop Medicaid programs from hemorrhaging beneficiaries once the public health emergency ends by reworking some regulations and rewriting a Trump administration guidance on how to restart the redetermination process -- otherwise some experts predict up to 30% of Medicaid beneficiaries could lose insurance.

January 22, 2021 | Daily News

The National Health Law Program says its petition this week asking Biden’s HHS to scrap an 11th-hour memo by former CMS Administrator Seema Verma that aims to protect controversial Trump-era Medicaid 1115 demonstrations stands, even though one of President Joe Biden’s first executive orders scrapped the groundwork for the petition process.

January 21, 2021 | Daily News

The Biden administration's COVID-19 response strategy boosts funding for community health centers and offers more help to safety net providers and nursing homes, and it asks CMS to consider increasing its pay rate for vaccine administration and to take any steps necessary to promote coverage of safe and effective COVID-19 treatments and care.

January 20, 2021 | Daily News

The National Health Law Program petitioned the Biden administration on its first day in office to scrap an 11th-hour memo by former CMS Administrator Seema Verma that critics say is aimed at protecting work requirements and other controversial Medicaid policies put in place by the Trump administration.

January 20, 2021 | Daily News

The Biden administration is expected to fortify existing policies and increase funding to deal with social determinants of health.

January 19, 2021 | Daily News

House Energy & Commerce Chair Frank Pallone (D-NJ) and Senate Finance ranking Democrat Ron Wyden (D-OR) say CMS Administrator Seema Verma is blatantly attempting to keep the incoming Biden administration from acting to repeal certain 1115 demonstrations through what they allege is an illegal last-minute maneuver.

January 15, 2021 | Daily News

CMS Administrator Seema Verma is resigning her post effective Jan. 20 – when President-elect Joe Biden assumes office, she announced in a tweet Friday (Jan. 15) that spurred comments from some Democrats and consumer advocates happy to see her go.

January 15, 2021 | Daily News

New Hampshire is failing to provide adequate home- and community-based services to Medicaid beneficiaries through the state’s Choices for Independence waiver, alleges a class-action lawsuit filed in the United States District Court for New Hampshire on Monday (Jan. 11).

January 08, 2021 | Daily News

CMS Administrator Seema Verma touted as a possible national model the agency’s Friday (Jan. 8) approval of a wide-ranging Medicaid 1115 demonstration that was panned by 21 patient groups and was expected to be rescinded by the incoming Biden administration -- with Verma stressing the Trump CMS changed the state’s proposed financing mechanism for the demo and the waiver shouldn’t be considered a block grant.

January 08, 2021 | Daily News

CMS for the first time will let a state exclude drugs from its Medicaid formulary and still keep automatic Medicaid rebates.

January 08, 2021 | Daily News

Less than two weeks before the new Biden CMS takes over, current Administrator Seema Verma is quietly instituting new procedures that could make it more difficult for the new team to revoke the Trump administration’s controversial Medicaid 1115 demonstrations, including a new requirement that existing demos continue for at least nine additional months before being axed.

January 07, 2021 | Daily News

CMS Administrator Seema Verma on Thursday (Jan. 7) again announced the agency is withdrawing the Medicaid Fiscal Accountability Regulation, this time saying the 2020 year-end legislation that included supplemental pay transparency provisions would help achieve the proposed rule’s goals.

December 29, 2020 | Daily News

The Biden administration should immediately work to lower health care costs by quickly implementing the surprise billing compromise in the year-end legislation, extending financial assistance to struggling providers and working with Congress to incentivize states to expand Medicaid, the National Coalition on Healthcare says in a letter to the Biden transition team outlining its priorities.

December 23, 2020 | Daily News

States have up to six months after the COVID-19 public health emergency ends to begin kicking ineligible enrollees off Medicaid and Children’s Health Insurance Program rolls, according to a CMS guidance released Tuesday (Dec. 22) that dictates how states should return to the normal redetermination process after the pandemic.

December 22, 2020 | Daily News

CMS will delay for two years a policy of subtracting copay coupons and other patient financial assistance from prices used to determine how much Medicaid pays for drugs, according to the final Medicaid best price rule out Monday (Dec. 21).

December 22, 2020 | Daily News

The year-end government funding and COVID-19 relief package passed Monday night (Dec. 21) funds many of the so-called health extenders through 2023, or Sept. 30, 2023, and also includes Medicaid policies that were not in previous packages, like Medicaid supplemental pay reporting requirements and non-emergency medical transportation coverage requirements.

December 22, 2020 | Daily News

Drug makers are largely unscathed by the year-end government spending bill because Congress instead used hospital surprise billing legislation to pay for coronavirus relief, but the legislative package does include proposals that were part of drug price transparency bills, including one to give congressional Medicare and Medicaid advisers data on closely guarded rebates.

December 11, 2020 | Daily News

Democratic states and consumer advocates are asking the Supreme Court not to take up a lower court ruling that paused the Trump administration’s controversial public charge policy that denies green cards for immigrants who could benefit from public programs including Medicaid, arguing in briefs filed Wednesday (Dec. 9) that the high court should sidestep the case because the incoming Biden administration is likely to overturn the public charge policy.

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