News & Analysis as of

Healthcare Eligibility Determination

Manatt, Phelps & Phillips, LLP

States Challenge CMS Rule Making DACA Recipients Eligible for Marketplace Subsidies

On August 8, a coalition of 15 state attorneys general sued CMS in the North Dakota federal court seeking to overturn a May 2024 CMS final rule making Deferred Action for Childhood Arrivals (DACA) recipients eligible for...more

Stotler Hayes Group, LLC

How To Secure Cooperation In The Medicaid Eligibility Process

In our day-to-day work representing skilled nursing facilities, we are regularly asked by our clients to assist in securing Medicaid benefits for their residents.  This often entails seeking the cooperation of the resident or...more

Manatt, Phelps & Phillips, LLP

CMS Weighs in on the Use of Algorithms and Artificial Intelligence in Coverage Determinations

Apparently in light of recent litigation against Medicare Advantage (MA) plans, on February 6, 2024, CMS published responses to frequently asked questions (FAQs) regarding the use of algorithms and artificial intelligence in...more

Manatt, Phelps & Phillips, LLP

Continuous Medicaid/CHIP Eligibility for Children and Youth: 2024 Considerations for States

In December 2022, the U.S. Congress took a step to address churn—where enrollees lose Medicaid coverage, often for procedural reasons, and later reenroll after a gap in coverage—in the Consolidated Appropriations Act, 2023...more

Manatt, Phelps & Phillips, LLP

New York State DOH Expands Healthcare Worker Bonus Program

The New York State Department of Health (DOH or Department) recently announced changes to the Healthcare Worker Bonus (HWB) Program that expand employer eligibility and include additional job titles for the program. The...more

Quarles & Brady LLP

Federal Spending Bill Offers Re-Enrollment Path for Some Hospitals

Quarles & Brady LLP on

In a move welcomed by the growing number of hospitals forced out of the 340B Program due to falling disproportionate share hospital (DSH) adjustment percentages, Congress has passed a measure offering a chance to rejoin....more

Manatt, Phelps & Phillips, LLP

SNAP’s Role in Improving Health and Lowering Medicaid Costs

The Supplemental Nutrition Assistance Program (SNAP)—the largest food program administrated by the U.S. Department of Agriculture (USDA)—is an effective tool to combat food insecurity and related negative impacts on health....more

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