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CMS seeks comments on information associated with attestation requirements included in Medicaid managed care access rule

The Centers for Medicare & Medicaid Services is seeking public comments until July 22 on the information requirements associated with attestation requirements included in the Medicaid managed care access rule.
Public

AHA Statement: Legislative Proposals To Increase Medicaid Access And Improve Program Integrity

On behalf of our nearly 5,000 member hospitals, health systems and other health care organizations, our clinician partners — including

Delaware, Tennessee become first states to provide diapers through Medicaid

The Centers for Medicare & Medicaid Services recently announced the approval of Delaware and Tennessee as the first states to provide diapers to children covered by Medicaid.

Futurescan: Health Care Trends and Implications Publication

Futurescan is a series of publications for health care leaders that the American Hospital Association’s (AHA’s) Society for Health Care Strategy & Market Development (SHSMD) in collaboration with the American College of Healthcare Executives (ACHE) has published annually since 1999. 

CMS extends unwinding flexibilities for states through June 2025

The Centers for Medicare & Medicaid Services May 9 announced an extension of unwinding flexibilities to support state efforts to protect the continuity of coverage in Medicaid and the Children's Health Insurance Program.
Public

Fact Sheet: Majority of Hospital Payments Dependent on Medicare or Medicaid

It is broadly acknowledged that Medicare reimburses hospitals less than the cost of providing care and their reimbursement rates are non-negotiable.

Agencies release new process for resubmitting IDR disputes

The departments of Health and Human Services, Labor, and the Treasury May 1 released a new process for resubmitting disputes under the No Surprises Act independent dispute resolution process that were originally improperly batched or bundled.

House subcommittee holds hearing on Medicaid access, program integrity 

AHA submitted a statement to the House Energy and Commerce Subcommittee on Health for a hearing April 30 on proposed legislation to address Medicaid access and program integrity.
Member

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.
Member

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.