News & Analysis as of

Mental Illness Centers for Medicare & Medicaid Services (CMS)

Benesch

2024 Outlook: Behavioral Health Trends

Benesch on

Healthcare systems are facing significant challenges in recruiting and retaining talent within the burgeoning field of behavioral health services, primarily due to competition from telehealth providers and inconsistent...more

King & Spalding

CMS Announces Initiatives to Strengthen Nursing Home Safety and Transparency

King & Spalding on

On January 18, 2023, CMS issued a Quality, Safety & Oversight Group memorandum announcing its initiative to improve nursing home safety and transparency. Specifically, CMS will conduct audits to determine whether nursing...more

Foley Hoag LLP - Medicaid and the Law

Medicaid and the LawFoley Hoag LLP CMS Approves Two New Medicaid Waivers to Expand Coverage, Provide Flexibilities

On September 28, 2022, the Centers for Medicare & Medicaid Services (CMS) issued approval letters for Section 1115 Medicaid demonstration applications previously submitted by Oregon and Massachusetts. Section 1115 waivers...more

Mintz - Health Care Viewpoints

Arizona 1115 Medicaid Waiver Update

In 2014, Arizona expanded Medicaid to the new adult group. Following the expansion, Arizona submitted, and CMS approved, an 1115 waiver extension to create the Choice, Accountability, Responsibility, Engagement (CARE)...more

King & Spalding

CMS Outlines Support for Innovative Service Delivery Models and Provides Demonstration Project Opportunities

King & Spalding on

On November 13, 2018, CMS issued a letter to State Medicaid Directors, SMD #18--011 (Letter), announcing strategies to support innovative service delivery systems for adults with serious mental illness (SMI) and children with...more

Mintz - Health Care Viewpoints

CMS Guidance on Work Requirements for Medicaid Eligibility

Today (January 11, 2018), CMS released a Letter to Medicaid Directors outlining guidance that work requirements can be used as a basis for eligibility for certain adult Medicaid beneficiaries through 1115 waivers. Medicaid...more

Manatt, Phelps & Phillips, LLP

Wisconsin Releases Draft Waiver Amendment Proposing New Eligibility Requirements

On April 19, 2017, Wisconsin released for public comment a proposed amendment to its BadgerCare Reform Section 1115 demonstration. BadgerCare Reform currently provides coverage to approximately 150,000 childless adults ages...more

Mintz - Health Care Viewpoints

CMS Finally Releases Proposed Rules for Medicaid Managed Care

On Friday, Mintz Levin Health Law and ML Strategies posted an advisory on CMS’s proposed Medicaid Managed Care rules. This advisory provides contextual background, a helpful overview of the rule’s contents, and an in-depth...more

Cozen O'Connor

Health Care Reform Implementation Update - December 19, 2013

Cozen O'Connor on

The deadline to enroll in coverage for January 1 was officially extended by a week, but the new December 23 deadline is fast approaching, and premium payments are required to be paid by the last day of 2013 for January 2014...more

King & Spalding

CMS Releases FY 2014 Medicare Payment Regulations for Inpatient Psychiatric Facilities

King & Spalding on

On July 29, CMS released a notice updating the prospective payment rates for Medicare inpatient services provided by inpatient psychiatric facilities (IPFs) effective October 1, 2013, for the 2014 fiscal year. CMS estimates...more

Cozen O'Connor

Health Care Reform Implementation Update - June 12, 2013

Cozen O'Connor on

Discussions around reforming Medicare’s sustainable growth rate (SGR) continued this week as the Committee on Energy & Commerce held a hearing to solicit input on a draft bill for replacing the current SGR formula...more

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