Katie Rubinger on Centers for Medicare & Medicaid Services (CMS)

CMS Releases Technical Guidance to States on Complying with Medicaid Access Final Rule

On July 12, CMS released a companion guide to the Ensuring Access to Medicaid Services final rule (the “Access Final Rule”). This technical guidance—which focuses on the provisions regarding fee-for-service (FFS) payment...more

7/25/2024 / Centers for Medicare & Medicaid Services (CMS) , Fee-for-Service , Health Care Providers , Health Insurance , Healthcare , Home and Community Based Services (HCBS) , Medicaid , New Guidance

HHS Announces Medicaid and Medicare Flexibilities, Investigations post-Change Healthcare Cyberattack

Since becoming aware of the cyberattack on Change Healthcare in late February, the Centers for Medicare & Medicaid Services (CMS) has announced a number of flexibilities to support affected providers that have experienced...more

3/27/2024 / Centers for Medicare & Medicaid Services (CMS) , Cybersecurity , Department of Health and Human Services (HHS) , Health Care Providers , Healthcare Facilities , Medicaid , Medicare , Popular

Access to Care for Justice-Involved Pregnant People With a Substance Use Disorder

There is a critical need to increase access to evidence-based care for justice-involved pregnant people with a substance use disorder (SUD)—and connect them to continued coverage and care upon release—according to national...more

9/11/2023 / American Medical Association , Centers for Medicare & Medicaid Services (CMS) , Department of Justice (DOJ) , Drug & Alcohol Abuse , Food and Drug Administration (FDA) , Health Insurance , Healthcare , Medicaid , New Guidance , Opioid , Patient Access , Pregnancy , Prisoners , Substance Abuse

Upcoming Regulatory Changes Associated With the End of the PHE

At 11:59 p.m. on Thursday, May 11, 2023, the COVID-19 public health emergency (PHE) declaration will conclude, more than three years after taking effect in January 2020. The PHE declaration has enabled the U.S. Department of...more

5/11/2023 / 1135 Waivers , Centers for Medicare & Medicaid Services (CMS) , Coronavirus/COVID-19 , Department of Health and Human Services (HHS) , Health Care Providers , Infectious Diseases , OCR , Public Health Emergency

The Pennsylvania Rural Health Model: Lessons Learned and What’s Next for Rural Payment Policies

Since 2010, a reported 140 rural hospitals have closed their doors, including a record 19 hospitals in 2020 alone as a result of the financial pressures of COVID-19 compounded by many other long-standing challenges facing...more

4/26/2023 / Centers for Medicare & Medicaid Services (CMS) , CMMI , Fee-for-Service , Health Care Providers , Hospitals , Medicaid , Medicare , Rural Health Care Providers

CMS Reexamines Its Interpretation of the COVID-19 Continuous Enrollment Requirement

The Big Picture - On September 23, the Centers for Medicare & Medicaid Services (CMS) reopened the comment period for a November 2020 interim final rule (IFR) titled “Additional Policy and Regulatory Revisions in Response...more

9/30/2022 / Centers for Medicare & Medicaid Services (CMS) , Coronavirus/COVID-19 , Families First Coronavirus Response Act (FFCRA) , Infectious Diseases , Interim Final Rules (IFR)

CMS Sets Parameters for Optional Medicaid Health Home Benefit for Medically Complex Children

On August 1, CMS released a State Medicaid Director letter (SMD) laying out a new option for states to cover “health home” services for Medicaid-eligible children and youth with medically complex conditions. This benefit was...more

8/10/2022 / Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Home Health Care , Medicaid

Katie Rubinger

Manatt, Phelps & Phillips, LLP

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