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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.

Massachusetts Medicaid demonstration expands services, continuous eligibility

The Centers for Medicare & Medicaid Services April 19 approved an amendment to a Massachusetts Medicaid and Children’s Health Insurance Program demonstration to add health-related social needs services; expand Marketplace subsidies and cost-sharing assistance; provide pre-release services to eligible incarcerated beneficiaries; and expand continuous eligibility to 24 months for older adults experiencing homelessness and 12 months for other adults.

MACPAC publishes March report to Congress, maternity care catalogue

The Medicaid and CHIP Payment and Access Commission published a pair of reports. In its March report to Congress, MACPAC, a key congressional advisor on the Medicaid program, updated its annual analyses of disproportionate share hospitals, including national estimates of the number of these facilities, spending by state, and uncompensated care costs by hospital type.
Member

Special Bulletin: CMS Final Eligibility and Enrollment Rule for Medicaid, CHIP

The Centers for Medicare & Medicaid Services (CMS) March 27 issued a 

CMS extends special enrollment period for persons no longer eligible for Medicaid, CHIP

The Centers for Medicare & Medicaid Services March 28 announced an extension of its temporary Marketplace special enrollment period for those who lost Medicaid or Children’s Health Insurance Program eligibility following the end of the COVID-19 public health emergency continuous coverage period.

CMS finalizes rule to standardize Medicaid and CHIP enrollment, renewals

The Centers for Medicare & Medicaid Services March 27 finalized a rule proposed in 2022 to standardize Medicaid and CHIP enrollment and renewal processes and make it easier for eligible children and adults to stay covered.

CMS seeks sickle cell gene therapy makers to participate in Medicaid drug model 

The Centers for Medicare & Medicaid Services March 7 invited drug makers in the Medicaid Drug Rebate Program that make federally approved gene therapies for sickle cell disease to apply through May 1 to participate in the Cell and Gene Therapy Access Model.

MACPAC recommends changes to improve Medicaid managed care oversight

The Medicaid and CHIP Payment and Access Commission (MACPAC) last week recommended seven changes to Medicaid managed care policy to better monitor denials and improve the appeals process.

HHS launches Medicaid and CHIP renewal resource for providers

The Department of Health and Human Service today launched a new online hub for federal resources to help people renew Medicaid or the Children’s Health Insurance Program coverage, or transition to other coverage if they no longer qualify.