On June 26, the Centers for Medicare & Medicaid Services (CMS) released the Notice of Funding Opportunity (NOFO) for the Transforming Maternal Health (TMaH) Model. TMaH is ten-year delivery and payment model designed to test...more
On July 1, North Carolina announced a new plan to relieve past medical debt for low- and middle-income consumers and mitigate the impact of medical debt going forward. Under the proposal, hospitals that choose to implement...more
Medicaid’s role in addressing housing insecurity and homelessness is rapidly evolving, with many states taking advantage of new federal flexibilities to provide housing and housing-related services to enrollees whose health...more
New Mexico recently became the latest state to receive Centers for Medicare & Medicaid Services (CMS) approval to expand the state’s behavioral health service offerings through mobile crisis intervention teams. Under...more
The Medicaid Market: A Huge and Growing Investment Opportunity - Medicaid is a critical source of health care coverage for women in their childbearing years, covering 1 in 5, or 13 million, women of reproductive age and...more
Editor’s Note: In a new issue brief prepared with the support of Arnold Ventures, Manatt Health shares an array of best practice strategies in place across the nation to serve as an actionable road map for states that might...more
Given its role as a critical source of health care coverage for low-income individuals in the United States, including 13 million women of reproductive age, Medicaid is the primary source of family planning coverage in the...more
On Thursday, April 27, the Centers for Medicare & Medicaid Services (CMS) released two highly anticipated proposed rules... Together, these would reshape the federal regulatory landscape for Medicaid and the Children’s Health...more
Medicaid is the primary source of family planning coverage, accounting for 75% of public expenditures for family planning services in the United States. In order to expand the number of people who can access family planning...more
On May 3, 2023 the Centers for Medicare & Medicaid Services (CMS) published the proposed rule Medicaid Program; Ensuring Access to Medicaid Services. The proposed rule seeks to increase transparency in payment rates,...more
Lots of Healthcare Activity in Congress - Activity in Congress focusing on healthcare issues has increased over the last few weeks and is not slowing down anytime soon. This week, the Senate Health, Education, Labor, and...more
North Carolina’s “Healthy Opportunities Pilots” were among the first 1115 demonstrations granting broad state authority to leverage Medicaid funding to address drivers of health—the conditions in which people live, work and...more
This fall, the Centers for Medicare & Medicaid Services (CMS) approved innovative 1115 waivers for Arizona, Massachusetts and Oregon, authorizing new financing and programmatic flexibilities for delivering services that...more
In a new webinar based on their soon-to-be-released resource, Integrating Community Care Hubs into Efforts to Address Social Drivers of Health: A Playbook for State Medicaid Agencies, Manatt Health and the Partnership to...more
Youth Receiving Residential and Inpatient Behavioral Health Care Are at Increased Risk of Homelessness - The Issue - Youth with behavioral health needs, particularly those receiving residential and inpatient treatment,...more
In recent years, states have sought to leverage Medicaid to address social drivers of health (DoH), relying primarily on waivers for financing. The Center for Medicare & Medicaid Services' (CMS) approval of California’s...more
Since 2014, states have had the option to expand Medicaid eligibility to include adults with incomes under 138 percent of the federal poverty level. Under this option, the federal government covers 90 percent of the cost of...more
Editor’s Note: On March 11, 2021, President Biden signed the American Rescue Plan into law, enacting a sweeping $1.9 trillion COVID-19 relief package. The legislation includes a number of provisions that will significantly...more
Department of Health Care Services (DHCS) - SPA 21-0016 CMS-Approved State Plan Amendment (03/26/2021)...more
On February 25, 2021, the New York State Assembly and New York State Senate convened their annual Health and Medicaid hearing on the proposed Executive Budget, which was previously scheduled to take place February 5, 2021....more
UPDATE: Our July 28, 2020, post informed you that the Wisconsin Medicaid divisor would remain unchanged in 2020...more
The first ever VIRTUAL Managed Care Compliance Conference will have the great speakers and content you have come to expect from the in-person event. Each year, we look forward to hosting compliance professionals at our...more
Editor’s Note: In a new report, Manatt explores how states are using two key tools—Medicaid managed care contracts and 1115 waivers—to address the unmet social needs of people with Medicaid coverage. The findings have...more
Four months after the Centers for Medicare & Medicaid Services (CMS) offered state Medicaid programs a new COVID-19 Section 1115 waiver opportunity, five of at least 20 applying states have received approval of their waiver...more
Every year before July 1st, Wisconsin publishes an updated Medicaid divisor to be in effect starting on July 1st of that year until June 30th of the next year. This year, Wisconsin has not yet updated its Medicaid divisor due...more