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Medicaid

June 11, 2020 | Daily News

CMS on Thursday (June 11) warned that any nursing homes taking patients’ economic stimulus checks could be kicked out of Medicare or Medicaid, but the agency also said it had not received any specific complaints about such a practice even though the Federal Trade Commission and some state attorneys general have said such complaints have filtered through to them.

June 10, 2020 | Daily News

Lawmakers joined providers Wednesday (June 10) in asking HHS to dedicate more COVID-19 relief funding on top of the $25 billion the department announced Tuesday for Medicaid providers and safety net hospitals.

June 10, 2020 | Daily News

Lawmakers are pressing the HHS Inspector General and CMS to warn nursing homes and assisted living facilities it is improper to take economic stimulus checks from Medicaid beneficiaries after the Federal Trade Commission and some states put out a warning that such a practice is occurring.

June 09, 2020 | Daily News

CMS on Tuesday (July 9) unveiled guidance for opening health care facilities in states that have moved into phase 2 of reopening that recommends patients receiving non-COVID-19 care undergo COVID-19 testing 24 hours before their procedure.

June 09, 2020 | Daily News

Missouri’s upcoming referendum on Medicaid expansion can remain on the state’s Aug. 4 ballot, a Missouri appeals court ruled Monday (June 8).

June 09, 2020 | Daily News

The health insurance industry Monday (June 8) released an updated analysis that finds the potential financial impact of COVID-19 to insurers in 2020 and 2021 could range from a $213 billion loss to a $76 billion gain if savings from delayed services continue to outweigh the costs of COVID-19 treatment, depending on infection rates.

June 08, 2020 | Daily News

States have flexibility to determine what method they will use to recoup money from Medicaid managed care plans that spend too much on administrative costs or take in profits that are too high, CMS said in guidance issued Friday (June 5).

June 05, 2020 | Daily News

Congress' investigative arm found that most states are struggling to carry out federal Medicaid requirements, including those restricting use of Medicaid money for inpatient stays at certain mental health facilities, requiring payments for expensive new FDA-approved drugs for outpatient care, aligning care for dually-eligible beneficiaries, and requiring prospective payments to community health centers and rural clinics.

June 03, 2020 | Daily News

CMS on Wednesday (June 3) said, due to the COVID-19 pandemic, it will extend some innovation center models, including the Next Generation Accountable Care Organizations, while delaying the start date for others.

June 03, 2020 | Daily News

Congressional leaders from both parties wrote to HHS Secretary Alex Azar on Wednesday (June 3) pressing him to immediately distribute emergency relief money from the CARES Act to Medicaid-dependent providers.

June 03, 2020 | Daily News

A federal appeals court is grappling with whether states are required to reimburse Medicaid managed care plans for a controversial Obamacare tax -- and, if they aren’t, whether the federal government must pay back nearly $500 million to six states that challenged the regulatory regime surrounding the tax.

June 02, 2020 | Daily News

Democrats continued to emphasize a need for the federal government to take the lead on the COVID-19 testing supply at a House Energy & Commerce subcommittee hearing where three governors, including two Democrats and one Republican, testified Tuesday (June 2) on their states’ responses to the pandemic.

June 01, 2020 | Daily News

CMS on Monday (June 1) said it will withhold some CARES Act funds from states that fail to follow oversight requirements on infection control after the agency released public data showing that almost 26,000 nursing home residents have died of COVID-19.

June 01, 2020 | Daily News

HHS signaled additional payments could be coming for some high-impact areas that missed the April 10 application deadline, in updated frequently asked questions that clarifies how CMS is disbursing and overseeing the CARES Act provider relief fund.

May 29, 2020 | Daily News

Medicaid directors are asking CMS to extend otherwise expiring 1115 waivers and innovation center demonstration reporting timeframes, as well as provide states with more time to meet certain regulatory requirements around home-and-community-based care settings and CMS’ interoperability rule due to the pandemic.

May 29, 2020 | Daily News

Oklahoma’s Republican governor, who earlier this year released a proposal to expand Medicaid and then accept block-grant-style funding for the expansion group, has abandoned the plan to expand eligibility even as the state’s block grant waiver proposal moves forward.

May 29, 2020 | Daily News

Missouri will vote in August on whether to expand Medicaid -- the second such referendum in a midwestern red state scheduled for this summer.

May 29, 2020 | Daily News

Presumptive Democratic nominee Joe Biden on Thursday (May 29) unveiled a proposal to support people with disabilities throughout the pandemic by enhancing and protecting existing federal programs, and he also called for legislation to eliminate the two-year waiting period for those eligible for federal disability benefits to enroll in Medicare and other reforms to Social Security.

May 27, 2020 | Daily News

The House Ways & Means Committee on Wednesday held a hearing looking at ways to mitigate the disproportionate impact of COVID-19 on communities of color, as one hospital group and a beneficiary advocacy organization called on Congress to focus on improving access to health insurance, particularly Medicaid, to address the issue.

May 26, 2020 | Daily News

The Trump administration unveiled a national strategic COVID-19 testing plan, as required by CARES Act, on Sunday (May 24), which Democrats were quick to criticize as putting too much responsibility on states to expand testing.

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