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Medicaid

April 19, 2019 | Daily News

The Montana legislature gave final approval to a six-year extension of the state’s Medicaid expansion Thursday (April 18), along with a request for CMS to approve work requirements, and Gov. Steve Bullock (D) indicated he would sign it into law.

April 19, 2019 | Daily News

The Congressional Budget Office estimates that 1.4 million more people went uninsured in 2018 compared to 2016 and most of the drop came from unsubsidized individuals in the individual market.

April 19, 2019 | Daily News

According to new information by the HHS Office of Civil Rights (OCR) released Friday (April 19), smartphone apps created by third-party developers and not by providers or business associates covered under the Health Insurance Portability and Accountability Act (HIPAA) are not subject to HIPAA rules, even if a breach occurs.

April 19, 2019 | Daily News

CMS reversed course and, along with the Office of the National Coordinator for Health IT, will give stakeholders an additional 30 days to comment on proposed interoperability rules the agencies released in February, pushing the comment deadline back to June 3.

April 17, 2019 | Daily News

CMS is seeking an accelerated appeal in the litigation over Medicaid work requirements because, according to the agency, a district judge’s recent rulings that invalidated work requirements in Arkansas and Kentucky will cause “significant disruption to the detriment of the states and the federal government.”

April 17, 2019 | Daily News

Kentucky’s Cabinet of Health and Family Services touted an independent evaluator’s plan to use a randomized control population to evaluate the state’s controversial work requirements program, but the evaluation’s approval is now on hold as CMS appeals a pair of judicial decisions that blocked Medicaid work requirements in Arkansas and Kentucky.

April 15, 2019 | Daily News

A measure to continue Montana’s Medicaid expansion and add work requirements to the program cleared a key legislative hurdle Monday (April 15).

April 15, 2019 | Daily News

A provision in the Trump administration’s point-of-sale rebate proposal questioning whether formulary placement-related rebates are protected by the anti-kickback statute generated strong reactions from the generic drug and pharmacy benefit manager lobbies, which are at odds on the issue.

April 12, 2019 | Daily News

HHS should issue guidance to help states understand what therapeutic foster care services can be covered under Medicaid and improve the coordination of those services, federal Medicaid advisers said Thursday (April 11).

April 12, 2019 | Daily News

Federal Medicaid advisers expressed general support for CMS’ goal to encourage better sharing of electronic health records through its recent proposed rule on interoperability, but they declined Friday (April 12) to weigh in with any formal comments on the proposed rule, even as a few commissioners worried that the rule’s timeline for implementing new data-access requirements is too aggressive.

April 12, 2019 | Daily News

Federal Medicaid advisers voted Thursday (April 11) to recommend that Congress eliminate the requirement for states to establish a Recovery Audit Contractor program.

April 11, 2019 | Daily News

Federal Medicaid advisers voted Thursday (April 11) to recommend that Congress change the definition of the so-called Medicaid shortfall in order to re-impose stricter limits on the amount of supplemental payments that disproportionate-share hospitals can receive.

April 11, 2019 | Daily News

Congressional Medicaid advisers voted unanimously Thursday (April 11) to recommend removing the drug-rebate cap in Medicaid, a recommendation that also is backed by the Trump administration and a key House Republican, after several MACPAC members grew comfortable with removing the cap since initially expressing doubts at a March meeting.

April 10, 2019 | Daily News

CMS on Wednesday (April 10) appealed a pair of judicial decisions that blocked Medicaid work requirements in Arkansas and Kentucky.

April 10, 2019 | Daily News

Senate Finance Chair Chuck Grassley (R-IA) said Wednesday (April 10) if senators cannot reach consensus on a package to lower prescription drug costs by June, such a package may not pass this year.

April 09, 2019 | Daily News

Idaho Gov. Brad Little (R) on Tuesday (April 9) signed a bill to implement the state’s voter-approved Medicaid expansion but expressed concerns about a controversial provision that seeks to add work requirements to people in the expansion population.

April 09, 2019 | Daily News

The Alliance for Site Neutral Payment Reform, along with the Brookings Institution and the American Enterprise Institute, are pushing lawmakers to get rid of the exemptions to off-campus hospital facility site-neutral pay policies, and while some lobbyists don’t expect such policy shift would move on its own, they say there’s a possibility it could come up later in the year as a way to help pay for a larger health care package.

April 09, 2019 | Daily News

Lawmakers in Maryland passed a scaled-back bill late Monday (April 8) that would create a board to review the affordability of prescription drugs, and potentially set ceilings for government payment of certain high-cost drugs.

April 08, 2019 | Daily News

A bill that would add work requirements to Idaho’s voter-approved Medicaid expansion is on the desk of Idaho Gov. Brad Little (R) after weeks of disagreement among state lawmakers over how the work requirements should function.

April 05, 2019 | Daily News

CMS and Alaska have discussed making Alaska the first state to receive Medicaid funding through block grants, and the state’s governor asked President Donald Trump to support CMS Administrator Seema Verma in implementing the idea.

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