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Trump Administration Announces Transformative Medicaid Healthy Adult Opportunity

Trump Administration Announces Transformative Medicaid Healthy Adult Opportunity CMS resets the
Press Releases

CMS Administrator Seema Verma’s remarks to the Centers for Consumer Information and Insurance Oversight’s (CCIIO’s) Industry Day

CMS Administrator Seema Verma’s remarks to the Centers for Consumer Information and Insurance
Press Releases

CMS Reduces Psychiatric Hospital Burden with New Survey Process

Today, the Centers for Medicare & Medicaid Services (CMS) announced a streamlined survey and certification process for psychiatric hospitals, delivering on the Agency’s “Patients Over Paperwork” initiative.
Fact Sheets

Comparing the InCK & MOM Models

The Integrated Care for Kids (InCK) and Maternal Opioid Misuse (MOM) Models are two new Center for Medicare and Medicaid Innovation (Innovation Center) models designed to improve care delivery for vulnerable Medicaid and Children’s Health Insurance Program (CHIP) beneficiaries, particularly those affected by the nation’s opioid crisis, while improving quality of care and reducing spending.
Fact Sheets

CMS awards funding to combat opioid misuse among expectant mothers and improve care for children impacted by the crisis

Goals are to improve quality of care, increase access to treatment based on state-specific needs, and reduce expenditures
Press Releases

Organ Procurement Organization (OPO) Conditions for Coverage Proposed Rule: Revisions to Outcome Measures for OPOs

On December 17, 2019, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would update the Organ Procurement Organization (OPO) Conditions for Coverage that OPOs must meet to receive Medicare and Medicaid payment.
Fact Sheets

Kidney Care Choices (KCC) Model

The Kidney Care Choices (KCC) Model will build upon the existing Comprehensive End Stage Renal Disease (ESRD) Care (CEC) Model structure – in which dialysis facilities, nephrologists, and other health care providers form ESRD-focused accountable care organizations. 
Fact Sheets

Direct Contracting: Professional and Global

Direct Contracting creates a new opportunity for the Centers for Medicare & Medicaid Services (CMS) Center for Medicare and Medicaid Innovation (Innovation Center) to test an array of financial risk-sharing arrangements to reduce Medicare expenditures while preserving or enhancing the quality of care furnished to beneficiaries.
Fact Sheets

CMS Announces Approval of Groundbreaking Demonstration to Expand Access to Behavioral Health Treatment

District of Columbia first to access federal matching funds for critical tools to address both opioid crisis and serious mental illness
Press Releases

Finalized Policy, Payment, and Quality Provisions Changes to the Medicare Physician Fee Schedule for Calendar Year 2020

On November 1, 2019, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that includes updates to payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule (PFS) effective on or after January 1, 2020.
Fact Sheets