On June 26, the Centers for Medicare & Medicaid Services (CMS) released the Notice of Funding Opportunity (NOFO) for the Transforming Maternal Health (TMaH) Model. TMaH is ten-year delivery and payment model designed to test...more
This program is part two of Manatt’s New Federal Rules on Medicaid Access and Managed Care webinar series.
After releasing sweeping proposed rules on Medicaid access and managed care in spring 2023, the Centers for...more
4/16/2024
/ Centers for Medicare & Medicaid Services (CMS) ,
Continuing Legal Education ,
Fee-for-Service ,
Final Rules ,
Health Care Providers ,
Home and Community Based Services (HCBS) ,
MCOs ,
Medicaid ,
Medical Loss Ratio ,
Provider Payments ,
Transparency ,
Webinars
On January 9, 2024, the Centers forMedicare and Medicaid Services (CMS) approved New York’s request to amend its Medicaid section 1115 demonstration waiver, “Medicaid Redesign Team.”1 New York State announced that the...more
On December 15, 2023, the CMS Innovation Center (CMMI) announced a new voluntary model for state Medicaid agencies called Transforming Maternal Health (TMaH). TMaH was developed in response to the profound maternal morbidity...more
2/12/2024
/ Centers for Medicare & Medicaid Services (CMS) ,
CMMI ,
Health Care Providers ,
Health Insurance ,
Healthcare ,
Healthcare Reform ,
Medicaid ,
Mental Health ,
Opioid ,
State Agencies ,
Value-Based Payments
Background -
The use of telehealth increased exponentially in 2020 and 2021 as health care providers and patients responded to the COVID-19 pandemic. The Government Accountability Office (GAO) estimated that the use of...more
6/1/2023
/ California ,
Coronavirus/COVID-19 ,
GAO ,
Health Insurance ,
Healthcare ,
Medi-Cal ,
Medicaid ,
OIG ,
Public Health Emergency ,
State and Local Government ,
Telehealth ,
Telemedicine
In February 2023, the California Department of Health Care Services (DHCS) published the Medi-Cal for Kids & Teens Outreach and Education Toolkit. The Toolkit was developed to promote and improve understanding among families,...more
On February 17, the Department of Homeland Security (DHS) released a proposed rule (2022 Proposed Rule) that would largely codify long-standing federal guidance regarding DHS’ authority to refuse a noncitizen’s application...more
3/11/2022
/ Biden Administration ,
Foreign Nationals ,
Immigration Procedures ,
Immigration Reform ,
Non-Citizens ,
Proposed Rules ,
Public Assistance ,
Public Benefits ,
Public Charge ,
Regulatory Reform ,
Residency Status
One of the most significant provisions of the American Rescue Plan was the establishment of the $350 billion Coronavirus State and Local Fiscal Recovery Funds (SLFRF or Fiscal Recovery Funds)....more
1/27/2022
/ American Rescue Plan Act of 2021 ,
Biden Administration ,
Children's Health Insurance Program (CHIP) ,
Coronavirus/COVID-19 ,
Economic Impact Payments ,
Essential Workers ,
Federal Funding ,
Health Insurance ,
Healthcare Facilities ,
Healthcare Workers ,
Infectious Diseases ,
Infrastructure ,
Interim Final Rules (IFR) ,
Premium Pay ,
Public Health ,
Relief Measures
The Big Picture - A key provision of the American Rescue Plan (ARP) is the establishment of the $350 billion Coronavirus State and Local Fiscal Recovery Funds (Fiscal Recovery Funds) for eligible state, local, territorial and...more
Editor’s Note: In a new report commissioned by the David and Lucile Packard Foundation, the J.B. and M.K. Pritzker Family Foundation, and Genentech Charitable Giving, Manatt Health—in partnership with DCR Initiatives and the...more
Editor’s Note: As states face the challenges of the COVID-19 crisis, information technology (IT) is an essential tool to support access to health coverage and the safe and effective evaluation, testing and treatment of...more
6/23/2020
/ American Recovery and Reinvestment Act ,
Centers for Medicare & Medicaid Services (CMS) ,
Children's Health Insurance Program (CHIP) ,
Coronavirus/COVID-19 ,
Electronic Health Record Incentives ,
Federal Funding ,
Health Care Providers ,
Health Information Technologies ,
HITECH Act ,
Medicaid ,
Social Security Act
On May 11, 2020, New York State submitted a COVID-19 1115 waiver application to the Centers for Medicare & Medicaid Services (CMS), leveraging the opportunity to respond to the COVID-19 public health emergency (PHE) as...more
The Big Picture -
On March 18, 2020, the U.S. Senate passed—by a 90-8 vote—the Families First Coronavirus Response Act, a COVID-19 stimulus package. In addition to the healthcare provisions described below, which focus...more
3/20/2020
/ Coronavirus/COVID-19 ,
Department of Health and Human Services (HHS) ,
Economic Stimulus ,
Families First Coronavirus Response Act (FFCRA) ,
Financial Stimulus ,
Healthcare ,
Medicaid ,
Medical Testing ,
Medicare ,
Relief Measures ,
Telehealth
The Centers for Medicare & Medicaid Services (CMS) has formalized and strengthened requirements for evaluation of state Section 1115 Medicaid demonstrations, including new demonstration programs being permitted by the current...more
On August 12, 2019, the U.S. Department of Homeland Security (DHS) issued the final version of its public charge rule, which was slated to go into effect on October 15 but is currently subject to a nationwide preliminary...more
On August 14, the U.S. Department of Homeland Security (DHS) released a final rule that imposes significant new barriers on immigrants legally applying to enter and remain in the country. For decades, DHS has considered...more
In the first three years of life, a child’s brain is developing at an unparalleled pace. During this extremely sensitive period, the factors that influence social and emotional development—including a strong parent-child...more
Nearly half of children under age 3 in the United States get their health insurance through Medicaid and the Children’s Health Insurance Program (CHIP). With such broad reach, these programs can play a powerful role in...more
The Department of Homeland Security (DHS) has released a long-anticipated proposed rule that would dramatically change the extent to which the use of public benefits—including Medicaid and the Medicare low-income drug...more
Editor's Note: This "Manatt on Medicaid" is the eighth in a series of updates focused on CMS's new Medicaid/CHIP managed care regulations. In the coming weeks, Manatt will be exploring key provisions of the regulations and...more
7/2/2016
/ Affordable Care Act ,
Centers for Medicare & Medicaid Services (CMS) ,
Children's Health Insurance Program (CHIP) ,
Federal Health Insurance Exchanges ,
Managed Care Contracts ,
Medicaid ,
Medicare ,
Medicare Advantage ,
Public Health Insurance Marketplace ,
State Health Insurance Exchanges ,
Transparency
Real-Time Data Analytics in Government Investigations and Reducing Exposure -
It is not every day that the words “innovative” and “nimble” are used when referring to an agency of the federal government bureaucracy. Yet,...more
6/24/2016
/ ACOs ,
Affordable Care Act ,
Centers for Medicare & Medicaid Services (CMS) ,
Department of Health and Human Services (HHS) ,
Department of Justice (DOJ) ,
Federal Trade Commission (FTC) ,
Government Investigations ,
Healthcare Fraud ,
HEAT ,
Hospital Mergers ,
IRS ,
MCOs ,
Medi-Cal ,
Medicaid ,
Medicare Advantage ,
OIG ,
Section 340B
Over the past few years, California’s Medicaid program, known as Medi-Cal, has been catapulted into a new role. It has evolved from a program designed to provide health coverage to a subset of low-income individuals and help...more
Overview -
On April 25, 2016, the Centers for Medicare and Medicaid Services (CMS) released its highly anticipated final rule to overhaul the regulatory framework governing Medicaid managed care and make conforming...more
Medicaid continues to gain scale and importance nationally – as both the leading source of health coverage for Americans, and as a change agent within the healthcare marketplace.
With the number of Americans obtaining...more
Medicaid continues to gain scale and importance nationally – as both the leading source of health coverage for Americans, and as a change agent within the healthcare marketplace.
With the number of Americans obtaining...more