Waiver for Colorado Option receives federal approval
Boram Kim | Jun 24, 2022 | Colorado
Colorado’s Medicaid data on race and ethnicity deemed ‘poor’ quality by CMS
Boram Kim | Jun 2, 2022 | Colorado
Standardized plan requirements for ACA coverage in 2023
James C. Capretta | May 17, 2022 | Federal
MDHHS expands Behavioral Health Homes to Southeast Michigan PIHP regions
Patrick Jones | May 12, 2022 | Michigan
Biden administration to appeal court ruling on dispute resolution for surprise medical billing in Texas
Boram Kim | Apr 27, 2022 | Texas
The U.S. Department of Health and Human Services (HHS) announced on Friday it will appeal a U.S. district court ruling that reforms the arbitration process in disputes surrounding surprise medical billing to the Fifth District’s federal appellate court. Congress passed the No Surprises Act, which protects patients from receiving surprise
Background on CMMI’s Direct Contracting Model
James C. Capretta | Feb 18, 2022 | Federal
The Biden administration has come under pressure in recent weeks to modify, or even pull back entirely, the Center for Medicare and Medicaid Innovation’s Direct Contracting Model, which was originally developed during the Trump era. (The administration has indicated it will announce its plans for the model “soon”.) The following
Now open: Federal public notice and comment period for 1332 wavier application for Colorado Option
Colorado Division of Insurance | Jan 7, 2022 | Colorado
On November 30, the Division of Insurance submitted a Section 1332 Innovation Waiver Request for the Colorado Option. On January 3, 2022 the Centers for Medicare and Medicaid Services informed the Division of its preliminary determination that the Division’s 1332 State Innovation Waiver Request application for the Colorado Option is considered complete. This
Colorado Medicaid suspends new PACE enrollments at InnovAge centers follow audit findings
Colorado Department of Health Care Policy and Financing | Dec 30, 2021 | Colorado
The Colorado Department of Health Care Policy & Financing (Department) suspended new enrollments into InnovAge Colorado’s Program for All-inclusive Care for the Elderly (PACE). The Department has concurrently directed a corrective action process requiring InnovAge Colorado to address patient care concerns in all their Colorado sites. The decision follows extensive
What’s in store for Maryland’s Medicaid waiver renewal
Nicole Pasia | Dec 22, 2021 | Maryland
Over 1.4 million people under Maryland Medicaid, or the Health Choice program, will continue to receive care under the state's 1115 waiver. The Centers for Medicare and Medicaid Services (CMS) approved the waiver's extension last week for an additional five years, from Jan. 1, 2022 through Dec. 31, 2026. The
MDH announces Medicaid rate increases for home and community-based services
Nicole Pasia | Nov 4, 2021 | Maryland
Increased Medicaid rates for Maryland’s home and community-based services (HCBS) are going into effect, the Department of Health (MDH) announced this week. HCBS programs provide patient-centered care to individuals with physical, intellectual, and developmental diabetes and behavioral health needs. The HCBS increases are as follows: A 5.5 %