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CMS proposes standards for health plan prior authorization in certain federal programs

The Centers for Medicare & Medicaid Services issued a proposed rule that seeks to streamline prior authorization processes implemented by health plans serving the Medicaid, Children’s Health Insurance Program and federal Health Insurance Marketplace.

CMS updates guidance on Medicaid/CHIP coverage for COVID-19 vaccinations.

The Centers for Medicare & Medicaid Services released updated guidance for states and territories on Medicaid, Children’s Health Insurance Program and Basic Health Program coverage and reimbursement for COVID-19 vaccinations.
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CMS Releases Final Rule on Revisions to Medicaid and CHIP Managed Care Regulations

The Centers for Medicare & Medicaid Services (CMS) Nov. 9 released a final rule revising its Medicaid and Children’s Health Insurance Program (CHIP) managed care regulations that implement policy changes to streamline existing manage care regulations as recommended by state Medicaid directors.

CMS releases final rule on Medicaid, CHIP managed care

The Centers for Medicare & Medicaid Services finalized a 2018 proposed rule implementing policy changes recommended by state Medicaid directors and others to streamline managed care regulations for the Medicaid and Children’s Health Insurance Program.

CMS updates Medicaid/CHIP scorecard

The Centers for Medicare & Medicaid Services updated its Medicaid and Children’s Health Insurance Program scorecard with additional state data on enrollment, per capita spending and administrative accountability.

Medicaid/CHIP report decline in pediatric preventive services during pandemic

Use of primary and preventive care services have declined sharply among children in Medicaid and the Children’s Health Insurance Program since the COVID-19 public health emergency, according to preliminary data released by the Centers for Medicare & Medicaid Services.

CMS updates Medicaid/CHIP data system, tool

The Centers for Medicare & Medicaid Services today updated the Transformed Medicaid Statistical Information System (T-MSIS) and its Data Quality Atlas tool with Medicaid and Children’s Health Insurance Program data for calendar years 2017 and 2018.

HHS announces expanded eligibility for general distribution funds

The Department of Health and Human Services announced it has expanded the providers eligible for its Public Health and Social Services Emergency Fund “General Distribution.”

HHS extends deadline to apply for certain Provider Relief Funds

The Department of Health and Human Services extended to Aug. 28 the deadline for eligible Medicaid, Children’s Health Insurance Program and dental providers to apply for $15 billion in Provider Relief Funds available through the Phase 2 general distribution to these providers.

HHS webinar Monday on applying for Medicaid/CHIP provider relief funds

The Department of Health and Human Services July 27 at 3 p.m. ET will host a webinar on the Provider Relief Fund application process for eligible Medicaid, Children’s Health Insurance Program and dental providers.