Medicaid, Coronavirus/COVID-19, Health Insurance

Continuity in Coverage: CMS Extends the Unwinding SEP & Issues Final Rule for Medicaid and CHIP Enrollment

Sheppard Mullin Richter & Hampton LLP on 4/3/2024

On March 28, 2024, the U.S. Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS), announced that it is extending the temporary special enrollment period (the Unwinding SEP)...more

The Great Unwinding And Its Effect On Skilled Nursing Facilities

Stotler Hayes Group, LLC on 3/18/2024

Following the termination of the Public Health Emergency (“PHE”) as a result of COVID-19, and the continuous enrollment provisions put in place to ensure that Medicaid beneficiaries were able to receive Medicaid benefits...more

Leveraging Medicaid to Support Children and Youth Living With Complex Behavioral Health Needs

Manatt, Phelps & Phillips, LLP on 11/7/2023

Editor’s Note: In a new report prepared for The Commonwealth Fund, Manatt Health and its co-authors provide an actionable framework and strategies for how state-level policymakers can use Medicaid and the Children’s Health...more

HRSA Confirms End of COVID Waiver of Advance Registration Requirement for Provider-Based Clinics

Robinson+Cole Health Law Diagnosis on 10/30/2023

On September 27, 2023, the Health Resources and Services Administration (HRSA) issued a Notice in the Federal Register applicable to all 340B Program hospitals that formally ends a COVID-era waiver of the long-standing HRSA...more

The Impact of Medicaid Telehealth Policy Change on Equitable Access to Telehealth Services in NC

Manatt, Phelps & Phillips, LLP on 10/13/2023

Editor’s Note: In a new issue brief published by the Milbank Memorial Fund and summarized below, Manatt Health and leadership from the North Carolina Department of Health and Human Services (NC DHHS) share insights into...more

Telehealth Policy Lessons Learned in North Carolina During the COVID-19 Pandemic and Beyond

Manatt, Phelps & Phillips, LLP on 9/27/2023

Introduction - The COVID-19 pandemic catalyzed a dramatic rise in the use of telehealth nationwide to deliver services to individuals enrolled in Medicaid and the Children’s Health Insurance Program (CHIP). The federal...more

Executive Summary: Tracking Telehealth Changes State-by-State in Response to COVID-19 - August 2023 #2

Manatt, Phelps & Phillips, LLP on 8/31/2023

Payment Parity: Permanent State Laws and Statutes - Payment Parity requires that health care providers are reimbursed the same amount for telehealth visits as in-person visits. During the COVID-19 pandemic, many states...more

Executive Summary: Tracking Telehealth Changes State-by-State in Response to COVID-19 - August 2023

Manatt, Phelps & Phillips, LLP on 7/31/2023

Illinois passed S.B. 1913, which requires Medicaid FFS and Medicaid managed care plans to provide coverage of mental health services, substance use disorder treatment, and ‘behavioral telehealth services’. Requires Medicaid...more

End of COVID and Loss of Medicaid Expansion During COVID – A Request from Governing Agencies

Jackson Walker on 7/28/2023

In a new form of outreach from the Center for Medicare and Medicaid Services, the U.S. Department of Treasury, and the U.S. Department of Labor, a letter was issued to employers, plan sponsors, and insurance issuers (the...more

Proposed CY 2024 Medicare Physician Fee Schedule Extends Many Telehealth Flexibilities Through 2024

Manatt, Phelps & Phillips, LLP on 7/24/2023

On July 13, the Centers for Medicare & Medicaid Services (CMS) released its annual proposed rule updating the Medicare Physician Fee Schedule (MPFS) for calendar year (CY) 2024, which includes various proposed changes related...more

Executive Summary: Tracking Telehealth Changes State-by-State in Response to COVID-19 - June 2023 #2

Manatt, Phelps & Phillips, LLP on 7/3/2023

H.R. 4189 / S. 2016: Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act ....more

Telehealth Monitoring, Research and Evaluation: Issues for State Medicaid Agencies to Consider

Manatt, Phelps & Phillips, LLP on 6/1/2023

Background - The use of telehealth increased exponentially in 2020 and 2021 as health care providers and patients responded to the COVID-19 pandemic. The Government Accountability Office (GAO) estimated that the use of...more

McDermottPlus Check-Up: May 19, 2023

McDermott+ on 5/19/2023

The House and Senate were both in session this week, with significant healthcare activity at the committee level. The House Ways & Means Committee met to discuss healthcare price transparency, and the Ways & Means Health...more

COVID-19 PHE Ends May 11: What It Means for the Provision of Telehealth Under Medicare

Holland & Knight LLP on 5/2/2023

The Biden Administration announced on Jan. 30, 2023, its intent to end the COVID-19 Public Health Emergency (PHE) on May 11, 2023. Fortunately, the 2023 Consolidated Appropriations Act (CAA) extends certain key telehealth...more

McDermottPlus Check-Up: April 28, 2023

McDermott+ on 5/2/2023

Congress was in session, and it was a busy healthcare week at the committee level, with six hearings focused specifically on health issues. On the House floor, Republicans passed the Limit, Save, Grow Act—a bill that raises...more

End of COVID-19 Emergency: Legal Implications for Healthcare Providers

McGuireWoods LLP on 5/2/2023

On Jan. 30, 2023, President Joe Biden announced that the COVID-19 public health emergency (PHE) will end May 11, 2023. Under the PHE, the federal government implemented a range of modifications and waivers impacting Medicare,...more

The Expiration of the COVID-19 Public Health Emergency: Part II – Impact on the Provision of Medical Services via Telehealth

Bodman on 4/26/2023

As announced by the White House on January 30, 2023, the public health emergency (PHE) is set to end on May 11, 2023. The end of the PHE also brings an end to several flexibilities that were implemented that impact telehealth...more

Executive Summary: Tracking Telehealth Changes State-by-State in Response to COVID-19 - April 2023 #2

Manatt, Phelps & Phillips, LLP on 4/24/2023

As the COVID-19 pandemic continues across the United States, states, payers, and providers are looking for ways to expand access to telehealth services. Telehealth is an essential tool in ensuring patients are able to access...more

One Month Until May 11, 2023 – the Expiration Date for the COVID-19 Public Health Emergency

Bodman on 4/11/2023

The Secretary of the U.S. Department of Health and Human Services (HHS) first declared the existence of a public health emergency (PHE) on January 31, 2020. The PHE allowed HHS to implement a number of regulatory waivers and...more

The End of the COVID-19 Public Health Emergency and National Emergency Are Near – Are You Ready?

Groom Law Group, Chartered on 4/7/2023

The COVID-19 Public Health Emergency (“PHE”) and National Emergency (“NE”) have been in place since early 2020. In January 2023, President Biden stated his intention for both to end on May 11, 2023. There have been many...more

What Employers Need to Know About Special Enrollment for Employees Formerly on Medicaid

Haynsworth Sinkler Boyd, P.A. on 4/5/2023

The expanded Medicaid and CHIP coverage offered during the COVID-19 public health emergency ended March 31, 2023, and employees and dependents who were participating in the expanded government-provided health insurance were...more

Health Law Diagnosis - CMS Issues Guidance for Providers on Waivers, Flexibilities and End of COVID-19 Public Health Emergency

Robinson & Cole LLP on 3/17/2023

The Centers for Medicare & Medicaid Services (CMS) recently issued a Fact Sheet (Fact Sheet) providing guidance on the impact of the end of the federal COVID-19 Public Health Emergency (PHE) on certain regulatory waivers,...more

Medicaid › Coronavirus/COVID-19 › Health Insurance