Ross Margulies on Block Grants

Advocates File Suit Over Tennessee Waiver – Dissecting the Complaint

On April 22, 2021 the Tennessee Justice Center and the National Health Law Program, representing thirteen (13) aggrieved Medicaid beneficiaries in the state of Tennessee, filed suit in the U.S. District Court for the District...more

4/26/2021 / 1115 Waivers , Block Grants , Department of Health and Human Services (HHS) , Healthcare Reform , Medicaid , State and Local Government , Tennessee , Waivers

CMS Begins Internal Purge of Trump-Era Medicaid Policies

While CMS has been relatively quiet as of late from a public-facing perspective as it waits for new political leadership to arrive (including newly announced CMS Administrator, Chiquita Brooks-LaSure), a recent review by your...more

2/24/2021 / 1115 Waivers , Block Grants , Centers for Medicare & Medicaid Services (CMS) , Department of Health and Human Services (HHS) , Healthcare Reform , Medicaid , Medicaid Work Requirements , Trump Administration

CMS Approves Tennessee “Block Grant” Waiver: A Summary and Analysis from your Editors

...On Friday January 8th, in the final days of the Trump Administration, CMS announced approval of a first-in-the-nation waiver that would permit Tennessee to transition from Medicaid’s longstanding, open-ended financing...more

1/11/2021 / Block Grants , Centers for Medicare & Medicaid Services (CMS) , Class Action Arbitration Waivers , Medicaid , Tennessee

Oklahoma releases draft “block grant” waiver application for public comment

We are still reviewing the just-released draft waiver from Oklahoma, but wanted to share with our readers in the meantime. As we’ve discussed... we expected Oklahoma to be the first-mover after release of the Trump...more

3/17/2020 / Block Grants , Centers for Medicare & Medicaid Services (CMS) , Medicaid , Public Comment , State and Local Government , Trump Administration , Waivers

CMS Releases Block Grant Guidance: Answers to your FAQs

On January 30, 2020, the Centers for Medicare & Medicaid Services (CMS) issued its long awaited and highly anticipated State Medicaid Director Letter (SMD Letter) announcing the “Healthy Adult Opportunity” (HAO) initiative...more

2/5/2020 / Affordable Care Act , Block Grants , Centers for Medicare & Medicaid Services (CMS) , Medicaid , Medicaid Expansion , Medicaid Work Requirements , New Guidance , Prescription Drugs , Social Security Act

Ten Things to Watch for in the Forthcoming Block Grant Guidance (Updated)

UPDATED: It’s out! The much anticipated guidance, entitled the “Healthy Adult Opportunity” (HAO), from CMS introducing ways to revamp Medicaid financing has been out for nearly a week and we have had some time to review the...more

1/28/2020 / Block Grants , Centers for Medicare & Medicaid Services (CMS) , Managed Care Contracts , Medicaid , Medicaid Expansion , Medicaid Work Requirements , New Guidance , Prescription Drugs , Trump Administration , Waivers

CMS Withdraws Block Grant Guidance – What’s Next?

We’ve posted previously the long-standing rumor (substantiated by several folks within the Administration) that CMS is working on a guidance document to states to receive their Medicaid funding through a block grant. In June,...more

11/19/2019 / Block Grants , Centers for Medicare & Medicaid Services (CMS) , Financing , Guidance Update , Health Care Providers , Medicaid , OMB , State Medicaid Programs

Tennessee Announces First-in-Nation Block Grant Proposal

On September 17, 2019, Tennessee released its proposal to block grant most of the funding the state’s Medicaid program (TennCare) receives from the Federal government. If approved by CMS, the amendment to the state’s...more

9/23/2019 / 1115 Waivers , Affordable Care Act , Block Grants , Centers for Medicare & Medicaid Services (CMS) , Medicaid , Prescription Drugs , State Medicaid Programs , Trump Administration

Ross Margulies

Foley Hoag LLP

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