On August 29, 2024, the Centers for Medicare & Medicaid Services (CMS) released a Center for Medicaid & Children’s Health Insurance Program (CHIP) Services (CMCS) Informational Bulletin (CIB) and an accompanying slide deck to...more
On August 19, the Centers for Medicare & Medicaid Services (CMS) released a Center for Medicaid and CHIP Services (CMCS) Informational Bulletin (CIB) and an accompanying slide deck reminding states of their obligation to...more
This is an excerpt from a recent Manatt article published on State Health & Value Strategies. Click here to download insight.
On July 23, 2024, the Centers for Medicare & Medicaid Services (CMS) released a State Health...more
7/30/2024
/ Case Management ,
Centers for Medicare & Medicaid Services (CMS) ,
Children's Health Insurance Program (CHIP) ,
Consolidated Appropriations Act (CAA) ,
Health Care Providers ,
Health Insurance ,
Healthcare ,
Incarcerated Beneficiaries ,
Medicaid ,
Minor Children ,
Patient Access
In July, the Centers for Medicare and Medicaid Services (CMS) approved seven new Reentry Section 1115 Demonstrations in Illinois, Kentucky, New Hampshire, New Mexico, Oregon, Utah, and Vermont. These states join California,...more
On February 26, 2024, Montana received Centers for Medicare and Medicaid Services (CMS) approval to provide contingency management, tenancy supports, and Reentry Initiative services under its Section 1115 Healing and Ending...more
3/7/2024
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Centers for Medicare & Medicaid Services (CMS) ,
Health Care Providers ,
Health Insurance ,
Healthcare ,
Healthcare Facilities ,
Medicaid ,
Mental Health ,
Montana ,
Patient Access ,
Scope of Treatment ,
Substance Abuse
States are required to provide non-emergency medical transportation (NEMT) in their Medicaid programs but have flexibility in how they deliver these critical services. While states take a variety of approaches in the...more
Individuals leaving incarceration have disproportionately higher rates of physical and behavioral health diagnoses and are at higher risk for injury and death compared with people who have not been incarcerated. Race...more
6/23/2023
/ 1115 Waivers ,
Centers for Medicare & Medicaid Services (CMS) ,
Eligibility ,
Enrollment ,
Health Care Providers ,
Health Insurance ,
Inmates ,
Medicaid ,
Mental Health ,
Substance Abuse ,
Webinars
The Big Picture -
On January 26, 2023, the Centers for Medicare & Medicaid Services (CMS) approved California’s request to amend the California Advancing and Innovating Medi-Cal (CalAIM) Section 1115 demonstration. A...more
1/31/2023
/ 1115 Waivers ,
Centers for Medicare & Medicaid Services (CMS) ,
Department of Health and Human Services (HHS) ,
Health Insurance ,
Healthcare ,
Healthcare Reform ,
Inmates ,
Medi-Cal ,
Medicaid ,
Prisoners ,
Regulatory Agenda
As a condition of receiving enhanced federal funds under the Families First Coronavirus Response Act, states are maintaining continuous enrollment of all Medicaid enrollees, and many states have also paused Children’s Health...more
The Families First Coronavirus Response Act (FFCRA) provides enhanced federal matching funds to states as a condition of maintaining Medicaid enrollment until the conclusion of the COVID-19 public health emergency (PHE).1 As...more
There is growing momentum among states to develop innovative models to help people involved with the justice system (i.e., justice-involved individuals) receive health care services covered by Medicaid while they are...more
Editor’s Note: In a new expert perspective prepared for the Robert Wood Johnson Foundation’s State Health and Value Strategies program, reproduced below, Manatt Health outlines the time-limited targeted enrollment...more
6/21/2022
/ Centers for Medicare & Medicaid Services (CMS) ,
Children's Health Insurance Program (CHIP) ,
Continuous Coverage ,
Coronavirus/COVID-19 ,
Enrollment ,
Essential Health Benefits ,
Families First Coronavirus Response Act (FFCRA) ,
Health Insurance ,
Infectious Diseases ,
Medicaid ,
New Guidance ,
Patient Access ,
Public Health Emergency ,
Waivers
Editor’s Note: The current Medicaid continuous coverage requirements enacted by the Families First Coronavirus Act (FFCRA) prohibit states from disenrolling individuals from Medicaid for the duration of the public health...more
6/10/2022
/ Centers for Medicare & Medicaid Services (CMS) ,
Children's Health Insurance Program (CHIP) ,
Continuous Coverage ,
Coronavirus/COVID-19 ,
Enrollment ,
Essential Health Benefits ,
Families First Coronavirus Response Act (FFCRA) ,
Health Insurance ,
Infectious Diseases ,
Medicaid ,
New Guidance ,
Public Health Emergency
Background -
On March 3, the Centers for Medicare & Medicaid Services (CMS) released a State Health Official (SHO) letter, “Promoting Continuity of Coverage and Distributing Eligibility and Enrollment Workload in Medicaid,...more
Securing the Safety Net for America's Vulnerable Populations -
Editor's Note: America's population is aging rapidly. By 2029, 75 million baby boomers will have reached age 65 and older, and older adults will represent...more
2/22/2017
/ Aetna ,
Affordable Care Act ,
Anthem Insurance ,
Antitrust Provisions ,
Caregivers ,
Centers for Medicare & Medicaid Services (CMS) ,
Children's Health Insurance Program (CHIP) ,
CIGNA ,
Department of Justice (DOJ) ,
FMAP ,
HCQIA ,
Health Insurance ,
Humana ,
Lead Poisoning ,
Medicaid ,
Medicare Advantage ,
Mergers ,
Opioid ,
Private Sector ,
Substance Abuse ,
Whistleblower Protection Policies ,
Whistleblowers
On April 25, 2016, the Centers for Medicare and Medicaid Services (CMS) released its final rule that significantly overhauls regulations governing Medicaid managed care. The final rule establishes new requirements for...more
Medicaid continues to gain scale and importance nationally – as both the leading source of health coverage for Americans, and as a change agent within the healthcare marketplace.
With the number of Americans obtaining...more
On November 2, 2015, the Centers for Medicare and Medicaid Services (CMS) approved Montana's request under Section 1115 of the Social Security Act to implement its Medicaid expansion. Referred to as the Health and Economic...more
On August 28, 2014, the Centers for Medicare and Medicaid Services (CMS) approved Pennsylvania’s application under Section 1115 of the Social Security Act to implement a Medicaid expansion effective January 1, 2015, through a...more
Manatt on Medicaid: New Strategy for Financing 12 Months of Continuous Coverage for Newly Eligible Adults -
The federal government recently issued sub-regulatory guidance that will allow states to receive 98.7 percent...more