Melinda Dutton on Centers for Medicare & Medicaid Services (CMS)

CMS Finalizes Sweeping Regulations for Medicaid Access, Managed Care, and HCBS

On Monday, April 22, the Centers for Medicare & Medicaid Services (CMS) released two highly anticipated final rules. Together, these rules reshape the federal regulatory landscape for Medicaid and the Children’s Health...more

5/3/2024 / Centers for Medicare & Medicaid Services (CMS) , Children's Health Insurance Program (CHIP) , Fee-for-Service , Final Rules , Health Care Providers , Health Insurance , Managed Care Contracts , Medicaid , Regulatory Oversight

New Federal Guidance on Services Addressing ‘Health-Related Social Needs’ Under Medicaid

The Big Picture - In recognition of the impact of health-related social needs (HRSNs), the Centers for Medicare & Medicaid Services (CMS) issued a new Informational Bulletin and accompanying framework on November 16, which...more

12/18/2023 / Centers for Medicare & Medicaid Services (CMS) , Children's Health Insurance Program (CHIP) , Healthcare , Medicaid , Social Equity Programs , Social Services

Working with Community Care Hubs to Address Social Drivers of Health

The authors are grateful for insights provided by state Medicaid agency staff from the Arizona Health Care Cost Containment System, MassHealth, New York State Department of Health, Oregon Health Authority, Rhode Island...more

11/21/2022 / Centers for Medicare & Medicaid Services (CMS) , Coronavirus/COVID-19 , Health Care Providers , Medicaid , Medicare

The Chaotic Health Care Landscape in a Post-Roe World

The Big Picture - On June 24, the Supreme Court of the United States issued a far-reaching decision, Dobbs v. Jackson Women’s Health Organization, that repudiates nearly 50 years of precedent on a woman’s right to abortion...more

6/28/2022 / Abortion , Centers for Medicare & Medicaid Services (CMS) , Corporate Counsel , Department of Health and Human Services (HHS) , Dobbs v. Jackson Women’s Health Organization , Equal Protection , First Amendment , Healthcare , HIPAA Security Rule , Patient Access , Planned Parenthood of Southeastern Pennsylvania v Casey , Popular , Pregnancy , Professional Liability , Professional License , Reproductive Healthcare Issues , Roe v Wade , SCOTUS

Investing in Health: Seven Strategies for States Looking to Buy Health, Not Just Health Care

Editor’s Note: In a new issue brief supported by the Blue Shield of California Foundation and the Commonwealth Fund, Manatt Health—in partnership with The Health Initiative—presents strategies for how states can buy health,...more

3/12/2021 / Centers for Medicare & Medicaid Services (CMS) , Coronavirus/COVID-19 , Health Care Providers , Investors , Managed Care Contracts , Medicaid , New Guidance

Investing in Health: A Federal Action Plan

Editor’s Note: Manatt Health and The Health Initiative have released a new white paper—funded by Blue Shield of California Foundation and the Commonwealth Fund—outlining options for the Centers for Medicare & Medicaid...more

1/29/2021 / Centers for Medicare & Medicaid Services (CMS) , Children's Health Insurance Program (CHIP) , CMMI , Coronavirus/COVID-19 , Department of Health and Human Services (HHS) , Health Care Providers , Investors , Strategic Planning

Manatt on Health: Medicaid Edition - CMS Approves Washington, DC’s IMD Waiver for Mental Health

On November 6, 2019, the Centers for Medicare and Medicaid Services (CMS) approved Washington, DC’s Behavioral Health Transformation Demonstration, which waives the institution for mental diseases (IMD) exclusion for...more

12/6/2019 / Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Medicaid , Medicare , Mental Health , Substance Abuse

Manatt on Health: Medicaid Edition - North Carolina Waiver With ‘Healthy Opportunities’ Pilots Approved

On October 24, 2018, North Carolina received approval from the federal Centers for Medicare & Medicaid Services (CMS) of its 1115 waiver for a five-year demonstration period. The waiver provides the North Carolina Department...more

11/21/2018 / Centers for Medicare & Medicaid Services (CMS) , Department of Health and Human Services (HHS) , Medicaid , Medicare , Waivers

Manatt on Medicaid: 10 Trends to Watch in 2016

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

1/21/2016 / Centers for Medicare & Medicaid Services (CMS) , Managed Care Contracts , Medicaid , Medicaid Expansion , Prescription Drug Coverage

Manatt on Medicaid: The Basic Health Program: New Final Guidance Offers Insight Into Program Rules and Financing

The Patient Protection and Affordable Care Act (ACA) gives states the option to establish a Basic Health Plan (BHP)—an alternative coverage vehicle for lower-income individuals who would otherwise be eligible for Marketplace...more

3/28/2014 / Centers for Medicare & Medicaid Services (CMS) , Healthcare , Medicaid

SPECIAL EDITION: CMS Approves Iowa’s Waivers to Implement ACA Medicaid Expansion

On December 10, 2013, the Centers for Medicare and Medicaid Services (CMS) approved Iowa’s waivers to implement the Affordable Care Act (ACA) Medicaid expansion. The state plans to provide coverage for the new adult group...more

12/16/2013 / Affordable Care Act , Centers for Medicare & Medicaid Services (CMS) , Healthcare , Healthcare Reform , Medicaid , Waivers

Melinda Dutton

Manatt, Phelps & Phillips, LLP

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