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CMS Finalizes Medicaid Access and Payment Managed Care Rule
The CMS released April 22 a final rule focused on ensuring access to services for Medicaid and Children’s Health Insurance Program (CHIP) beneficiaries in managed care delivery systems.
CMS Finalizes Medicaid Access and Payment Fee-for-service Rule
The CMS released April 22 a final rule focused on ensuring access to services for Medicaid beneficiaries in fee-for-service delivery systems in keeping with the Administration’s objectives to improve access for Medicaid and Children’s Health Insurance Program (CHIP) beneficiaries.
CMS Issues Final Notice of Benefit and Payment Parameters for 2025
The Centers for Medicare & Medicaid Services (CMS) April 2 released its standards for qualified health plans (QHPs) offered through the health insurance marketplaces for 2025. Beginning in plan year 2025.
Special Bulletin: CMS Final Eligibility and Enrollment Rule for Medicaid, CHIP
The Centers for Medicare & Medicaid Services (CMS) March 27 issued a
Administration Finalizes Limit on Short-term, Limited-duration Health Insurance
The Departments of Health and Human Services, Labor and Treasury releases final rule limiting the sale of non-comprehensive health care coverage and promoting greater consumer understanding of their coverage options.
Coalition Redoubles Efforts to Strengthen America’s Health Care with New Name and Renewed Focus
The Coalition to Protect America’s Health Care will now be known as the Coalition to Strengthen America’s Healthcare: Protecting 24/7 Care.
CMS Issues Proposed Rule for CY 2025 Medicare Advantage, Prescription Drug Plans
The Centers for Medicare & Medicaid Services (CMS) Nov. 6 released its proposed Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly, and Health Information Technology Standards for Contract Year (CY) 2025 (CMS-4205-P).
CMS Finalizes Medicaid Disproportionate Share Hospital Third-party Payment Rule
The CMS Feb. 23 published a final rule that updates the regulatory requirements of the Medicaid disproportionate share hospital (DSH) program in response to Section 203 of the Consolidated Appropriations Act (CAA) of 2021.
CMS Finalizes Rules to Standardize Prior Authorization Processes
The Centers for Medicare & Medicaid Services (CMS) Jan. 17 finalized new regulations intended to streamline and reduce the burden associated with health plan prior authorization processes, promote greater transparency into medical necessity criteria, and improve the electronic exchange of health care information.
CMS Issues Proposed Notice of Benefit and Payment Parameters for 2025
The Centers for Medicare & Medicaid Services (CMS) Nov. 16 released its proposed standards for qualified health plans (QHPs) offered through the health insurance marketplaces for 2025.