News & Analysis as of

Eligibility Health Care Providers

Manatt, Phelps & Phillips, LLP

Oregon Launches a Basic Health Program

On July 1, Oregon launched a Basic Health Program (BHP) that offers comprehensive health care coverage, including medical, dental, and behavioral health care, with zero premiums and zero cost-sharing for eligible individuals...more

Manatt, Phelps & Phillips, LLP

[Webinar] Investing in a Strong Primary Care Health System: An Overview of CMMI’s Making Care Primary Model - November 16th, 1:00...

High-quality primary care is foundational to providing “whole person care” that emphasizes prevention, as well as team-based and relationship-based care. To help improve primary care, the Center for Medicare and Medicaid...more

Manatt, Phelps & Phillips, LLP

[Webinar] Guiding an Improved Dementia Experience: A Deep Dive into CMS’s New GUIDE Model - September 13th, 1:00 pm - 2:00 pm ET

On July 31, 2023, the Centers for Medicare & Medicaid Services (CMS) announced a new eight-year voluntary nationwide model – the Guiding an Improved Dementia Experience (GUIDE) Model that aims to support people living with...more

Manatt, Phelps & Phillips, LLP

[Webinar] Medicaid Coverage Opportunities for Justice-Involved Populations: CMS Guidance and States’ Approaches - July 13th, 3:00...

Individuals leaving incarceration have disproportionately higher rates of physical and behavioral health diagnoses and are at higher risk for injury and death compared with people who have not been incarcerated. Race...more

Manatt, Phelps & Phillips, LLP

[Webinar] Enhancing Access to Medicaid Family Planning Program Services: State-Level Best Practices - June 22nd, 3:00 pm - 4:00 pm...

Medicaid is the primary source of family planning coverage, accounting for 75% of public expenditures for family planning services in the United States. In order to expand the number of people who can access family planning...more

Manatt, Phelps & Phillips, LLP

[Webinar] Access to Coverage and Care: Policy Trends in Medicaid, Medicare and the Commercial Market - October 6th, 1:00 pm - 2:00...

Join Manatt for the First of Our Imperatives Deep-Dive Sessions on the Topics You Voted Most Important to You. To benefit fully from America’s health care system, people need both timely access to health care services and...more

King & Spalding

CMS Issues Guidance to Improve Care for Children with Medically Complex Conditions

King & Spalding on

On August 1, 2022, CMS issued guidance on the implementation of Section 1945A of the Social Security Act (the Act), which gives states the option to cover health home services for Medicaid-eligible children under age 21 with...more

Husch Blackwell LLP

Hospice Audit Series | Painting the Picture: How to Advocate for Clinical Hospice Eligibility in the Audit Appeal Process

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The core of most hospice audits has been, and continues to be, whether the medical record supports the patient’s hospice eligibility. In this episode, Husch Blackwell’s Meg Pekarske talks with Bryan Nowicki and Zaina Niles...more

Husch Blackwell LLP

The OIG's Impending Review of Nationwide Hospice Eligibility Demands a Robust Response From Hospices

Husch Blackwell LLP on

The Office of Inspector General (OIG) recently announced that its 2022 work plan for hospices will include a nationwide review of hospice beneficiary eligibility. In this episode, Husch Blackwell’s Meg Pekarske and Bryan...more

McDermott Will & Emery

[Webinar] 340B… Or Not 340B: Oversight, Compliance and Enforcement - July 15th, 9:00 am - 10:00 am PT

McDermott Will & Emery on

The 340B Program has gained national attention over the last decade, in part due to the opportunities it provides to generate revenue for participating entities without risk of significant enforcement penalties for...more

McDermott Will & Emery

Massachusetts Enacts Legislation Promoting Access to Quality and Affordable Care, Telehealth

On January 1, 2021, Governor Charlie Baker signed an omnibus healthcare law entitled “An Act promoting a resilient health care system that puts patients first,” which is aimed at addressing pressing healthcare issues in...more

Stotler Hayes Group, LLC

5 Things You Need to Know About The Pharmacy Partnership for Long-Term Care Program

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On October 16, 2020, the Centers for Disease Control and Prevention (“CDC”) announced a partnership with the Department of Health and Human Services (“HHS”), the Department of Defense (“DoD”), and pharmacy retailers, CVS and...more

Downs Rachlin Martin PLLC

Updates to Paid Leave Requirements Under FFCRA

Downs Rachlin Martin labor and employment attorney Beth Rattigan goes over updates to paid leave requirements under the Families First Coronavirus Response Act. FFCRA revisions and clarifications include: who is eligible,...more

Goodwin

U.S. Department of Health and Human Services Opens Application Process for Distribution of Additional $20 Billion from Provider...

Goodwin on

The U.S. Department of Health and Human Services (HHS) announced last week that, on Thursday, October 5, it would begin to accept applications for an additional $20 billion in funding to reimburse providers for...more

McAfee & Taft

HHS now accepting applications for $20 billion in Phase 3 relief funding

McAfee & Taft on

The U.S. Department of Health and Human Services (HHS), through the Health Resources and Services Administration (HRSA), has announced the availability of $20 billion in additional funding for providers. The application...more

Manatt, Phelps & Phillips, LLP

Maintaining Medicaid and CHIP Coverage Amid Postal Delays and Housing Displacements

In light of recent postal delays and housing displacements caused by the COVID-19 pandemic, the related economic crisis and a wave of natural disasters across the country, state Medicaid and Children’s Health Insurance...more

Cooley LLP

Alert: FCC Offers Guidance to Healthcare Providers Seeking Funding for Telehealth Services

Cooley LLP on

The Federal Communications Commission released a public notice to help eligible healthcare providers apply for funding through the FCC’s Connected Care Pilot Program. The $100 million Connected Care Pilot Program is designed...more

Sheppard Mullin Richter & Hampton LLP

DOL Revises FFCRA Regulations in Light of New York Federal Court Decision

As we previously reported, on August 3, 2020 the U.S. District Court for the Southern District of New York (the “District Court”) struck down four provisions of the Department of Labor’s (“DOL”) regulations interpreting...more

Seyfarth Shaw LLP

Assisted Living Facilities Can Apply for CARES Provider Relief Funds ... But be Careful What You Ask For

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On September 1, 2020, the US Department of Health and Human Services (HHS), through the Health Resources and Services Administration (HRSA), announced that assisted living facilities (ALFs)...more

Cozen O'Connor

New York Federal Judge Strikes Down Portions of Dept. of Labor’s Emergency Paid Leave Rules

Cozen O'Connor on

On March 18, 2020, Congress passed the Families First Coronavirus Response Act (FFCRA), which provided up to two weeks of paid sick leave and an additional 10 weeks of paid family and medical leave to certain eligible...more

Manatt, Phelps & Phillips, LLP

[Webinar] Ensuring Children’s Access to Care Through Medicaid During COVID-19 - August 10th, 4:00 pm - 5:00 pm ET

How Can States Leverage Telehealth Policies and Implement Eligibility and Enrollment Strategies to Protect Children’s Access to Medicaid During COVID-19? Find Out at a New Webinar From Manatt Health, the American Academy of...more

K&L Gates LLP

K&L Gates Triage: Recent Developments in the 340B Drug Pricing Program

K&L Gates LLP on

In this episode, Richard Church, Andrew Ruskin, and Victoria Hamscho discuss recent developments in the 340B Drug Pricing Program, including recent actions by drug manufacturers to limit contract pharmacy access to 340B...more

Akin Gump Strauss Hauer & Feld LLP

FCC Grants $50 Million of the $200 Million in Funding Available Under the COVID-19 Telehealth Program

The Federal Communications Commission (“FCC” or “Commission”) has been moving quickly on its new COVID-19 Telehealth program (“Telehealth Program”). Since it began accepting applications on April 13th, the Commission has...more

Baker Donelson

Overview of HHS Provider Relief Fund Payments and Updated Guidance

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On May 1, 2020, the Department of Health and Human Services (HHS) announced additional payments under the COVID-19 Provider Relief Fund to reimburse providers for health care related expenses and revenue losses attributable...more

Seyfarth Shaw LLP

NPDB Waives Query Fees from March through May 2020

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To assist hospitals in credentialing physicians during the COVID-19 pandemic, the National Practitioner Data Bank (“NDPB”)—the federal clearinghouse for adverse action reports against physicians—has announced it is waiving...more

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