News & Analysis as of

Medicaid Low-Income Issues

Medicaid is a partnership program between states and the federal government to provide healthcare coverage for lower income individuals, people with disabilities, older people, and certain families with... more +
Medicaid is a partnership program between states and the federal government to provide healthcare coverage for lower income individuals, people with disabilities, older people, and certain families with children.  less -
Manatt, Phelps & Phillips, LLP

[Webinar] New Medicaid Options to Provide Housing Services: Realizing the Potential - March 28th, 1:00 pm - 2:00 pm ET

Medicaid’s role in addressing housing insecurity and homelessness is rapidly evolving, with many states taking advantage of new federal flexibilities to provide housing and housing-related services to enrollees whose health...more

Manatt, Phelps & Phillips, LLP

[Webinar] Pushing the Envelope in School-Based Services: Graduating to a Higher Level of Pediatric Care - January 17th, 1:00 pm -...

In spite of increasing health care coverage for children, there has been an overall decline in the utilization of preventive and wellness services. This falling utilization is especially pronounced in lower-income households...more

Chambliss, Bahner & Stophel, P.C.

What Are Medicaid Asset Protection Trusts?

Medicaid is a state- and federally funded health program for lower-income persons of all ages. For applicants who fall into certain categories, Medicaid imposes specific rules on how much income and resources they can have...more

Manatt, Phelps & Phillips, LLP

Leveraging Medicaid to Reduce Youth Homelessness

Youth Receiving Residential and Inpatient Behavioral Health Care Are at Increased Risk of Homelessness - The Issue - Youth with behavioral health needs, particularly those receiving residential and inpatient treatment,...more

Manatt, Phelps & Phillips, LLP

Reshaping the Narrative on Public Charge to Reach Immigrant Populations that Need Affordable Health Insurance

Over the last year, the Biden Administration has made improving access to coverage and care a core policy priority across all of the healthcare programs it administers [Medicaid/ the Children’s Health Insurance Program...more

Arnall Golden Gregory LLP

OIG’s First Advisory Opinion of 2022 Allows for Expansion of Discount Programs

On January 19, 2022, the Department of Health and Human Services, Office of Inspector General (“OIG”) released a favorable advisory opinion, OIG Advisory Opinion No. 22-01 (the “Opinion”), analyzing a proposed expansion of...more

King & Spalding

OIG Issues Favorable Advisory Opinion on Retailer’s Proposed Expansion of Discount Programs for Low-Income Individuals

King & Spalding on

On January 19, 2022, OIG posted a favorable Advisory Opinion on a pharmacy-owning retailer’s proposal to expand its existing discount programs for low-income individuals by including enrollment in Medicaid as an additional...more

Manatt, Phelps & Phillips, LLP

Build Back Better: All Eyes on the Senate

The Big Picture - On November 19, the House of Representatives passed the Build Back Better Act (BBB) (H.R. 5376) by a vote of 220–213. The BBB contains a number of health and social policy priorities that are widely viewed...more

Manatt, Phelps & Phillips, LLP

Assessing the Fiscal Impact of Medicaid Expansion in Mississippi

I. Introduction - Since 2014, states have had the option to expand Medicaid eligibility to most adults with incomes under 138 percent of the federal poverty level (FPL; approximately $30,300 in annual earnings for a family...more

Chambliss, Bahner & Stophel, P.C.

An Introduction to Supplemental Security Income (SSI)

Supplemental Security Income (SSI) is a federal program that helps people with disabilities and very low incomes pay for food, clothing and shelter. It also is a key avenue to Medicaid coverage. SSI is often confused...more

Manatt, Phelps & Phillips, LLP

Missouri’s Medicaid Expansion Update

The Big Picture - On August 10, 2021, a Missouri circuit court ruled that Missouri can no longer delay Medicaid expansion. This order follows the July 22, 2021 unanimous Missouri Supreme Court ruling that ordered the state...more

Constangy, Brooks, Smith & Prophete, LLP

Farewell To The 2019 Public Charge Rule And Form I-944!

For the last year, the fate of the Public Charge Rule, which expanded the ability of the U.S. Citizenship and Immigration Services to deny green cards to lower-income foreign nationals, has been uncertain. In addition to the...more

Foley Hoag LLP - Medicaid and the Law

CMS Issues New Guidance for States to Address Social Determinants of Health

The social determinants of health (SDOH) describe the range of environmental, social, and economic factors that can impact health outcomes. According to the Centers for Disease Control and Prevention (CDC), the conditions in...more

Manatt, Phelps & Phillips, LLP

In Pursuit of Whole Person Health: Leveraging Medicaid Managed Care & 1115 Waivers to Address SDOH

Editor’s Note: In a new report, Manatt explores how states are using two key tools—Medicaid managed care contracts and 1115 waivers—to address the unmet social needs of people with Medicaid coverage. The findings have...more

Sheppard Mullin Richter & Hampton LLP

Maneuvers on the 340B Drug Pricing Program Battlefield: Duplicate Discounts and Contract Pharmacies

In a December 12, 2017 Advisory Board article, “The 340B drug pricing controversy, explained,” Scott Orwig wrote, “the 340B Drug Pricing Program is one of the most contentious issues in health care: Its critics say it ‘hurts...more

King & Spalding

CMS Issues Proposed Rule Aimed at Increasing Transparency and Reducing Medicaid Program Spending

King & Spalding on

On November 18, 2019, CMS published the proposed Medicaid Fiscal Accountability Rule (the Proposed Rule) which, if finalized, would result in dramatic changes to the Medicaid program. Through the Proposed Rule, CMS aims to...more

Foley Hoag LLP - Medicaid and the Law

Why are Medicaid and CHIP enrollment numbers declining?

For much of the past two years, enrollment in the Medicaid and CHIP programs has been declining. In May, 2017, enrollment in both programs was 74.6 million people. As of May of this year, enrollment had declined by 2.5%, to...more

Manatt, Phelps & Phillips, LLP

[Webinar] Keeping Medicaid’s Promise for Children With Special Healthcare Needs - October 2nd, 3:00 pm ET

How can state Medicaid agencies, families, advocates, providers and other stakeholders partner to improve access to services for Medicaid-enrolled children with special healthcare needs? Find out during a new webinar from...more

Patrick Malone & Associates P.C. | DC Injury...

Nonprofit hospitals hound patients with draconian debt collections

Nonprofit hospitals added almost $40 billion to their bottom lines in the last year and lavished a $3.5 million average salary on their chiefs. But their relentless grubbing for cash apparently was unsated still. The...more

Sheppard Mullin Richter & Hampton LLP

Arkansas and Kentucky Halt Medicaid Work Requirements

On April 10, 2019, the Department of Justice filed notices appealing two District Court rulings that struck down Medicaid work requirements in both Kentucky and Arkansas to the U.S. Court of Appeals for the District of...more

Downs Rachlin Martin PLLC

Vermont Legislative Update 03-29-2019 - An analysis from DRM's Government & Public Affairs Team

House passes budget bill - The House approved a $6.1 billion FY 2020 budget this week. The bill, H.542, provides for a 3.1 percent growth in spending over FY 2019....more

Brownstein Hyatt Farber Schreck

Expansion of Medicaid Eligibility for Undocumented Young Adults

In recent weeks, the states of California and Washington, and New York City have proposed expanding Medicaid eligibility for undocumented young adults. Given Medicaid’s combination of state and federal funding, House and...more

Troutman Pepper

OIG Advisory Opinion Has Key Takeaways for Programs Designed to Assist Needy Patients

Troutman Pepper on

Can a pharmaceutical manufacturer provide free items or services to financially needy Medicare and Medicaid beneficiaries without running afoul of the Beneficiary Inducements Civil Monetary Penalty (CMP) or the Anti-Kickback...more

Ruder Ware

Hospital Program for Free Support Services for Caregivers – Approved by OIG

Ruder Ware on

A recent Office of Inspector General (OIG) advisory opinion approved a proposal under which a hospital has established a caregiver center that provides or arranges for free or reduced-cost support services to caregivers in...more

Baker Donelson

OIG Allows Free and Reduced-Cost Services to Strained Caregivers in Advisory Opinion 18-05

Baker Donelson on

In what is becoming a steady trend, the Office of Inspector General (OIG) published another favorable opinion for an arrangement seeking to implement programs that support and engage family members who are increasingly...more

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