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Protect Access to Care for Patients and Communities
Congress should enact policies to strengthen the health care workforce and reject harmful proposals that would cut Medicare or Medicaid payments to hospitals and reduce access to care and services for patients.
Federal judge sides with Texas in Medicaid lawsuit, enjoins CMS
A federal court June 30 enjoined the Centers for Medicare & Medicaid Services from implementing and enforcing a bulletin addressing Medicaid funding and the redistribution of Medicaid payments, siding with the state of Texas in the ongoing legal challenge.
South Dakota poised to become 39th state to expand Medicaid under ACA
Effective July 1, over 52,000 low-income adults in South Dakota will become eligible for Medicaid under the Affordable Care Act, the Centers for Medicare & Medicaid Services announced June 30.
AHA Comment Letter on CMS’ Proposed Rule to Ensure Medicaid Services Access
AHA comments on the proposals to increase transparency in provider payment rates, expand stakeholder and beneficiary engagement, and improve access to home and community-based services.
CMS outlines Medicaid/CHIP coverage for adult vaccines effective Oct. 1
The Centers for Medicare & Medicaid Services released guidance on an Inflation Reduction Act provision requiring state Medicaid and Children’s Health Insurance Programs to cover approved adult vaccines recommended by the Advisory Committee on Immunization Practices and their administration without cost sharing beginning Oct. 1, 2023.
Members of Congress urge CMS to further streamline prior authorization
A bipartisan group of 233 representatives and 61 senators called on the Centers for Medicare & Medicaid Service to enhance its proposal to streamline prior authorization processes in Medicare Advantage, Medicaid and the federally-facilitated Marketplace to require real-time electronic decision-making for routinely approved services, responses for emergency procedures within 24 hours and additional transparency.
N.Y. extends Medicaid, CHIP postpartum coverage
The Centers for Medicare & Medicaid Services June 13 approved state plan amendments allowing New York state to extend postpartum coverage from 60 days to 12 months after pregnancy for Medicaid and Children’s Health Insurance Program enrollees under the American Rescue Plan Act.
HHS urges governors to use all Medicaid redetermination flexibilities
In a letter to governors, Health and Human Services Secretary Xavier Becerra encouraged states to use all available options (https://www.medicaid.gov/resources-for-states/downloads/state-strategies-to-prevent-procedural-terminations.pdf) to streamline Medicaid and Children’s Health Insurance Program redeterminations and prevent eligible enrollee’s from losing coverage due to procedural issues
Report: End of COVID-19 PHE’s Medicaid provisions further threaten hospitals’ financial health
Medicaid disenrollments are a looming concern for hospitals already operating close to the margins, according to a new report by Kaufman Hall.
CMS proposes changes to increase Medicaid drug price transparency
The Centers for Medicare & Medicaid Services this week proposed changes to the Medicaid Drug Rebate Program intended to improve manufacturer data integrity and help states verify drug prices.