Today, the U.S. Department of Health and Human Services, through the Centers for Medicare & Medicaid Services (CMS), is publishing a final rule to modify the definition of “lawfully present” applicable to eligibility for enrollment in a Qualified Health Plan (QHP) through the
Newsroom homepage
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Fact Sheets
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CMS Round Up
Today, the Centers for Medicare & Medicaid Services (CMS) provides an at-a-glance summary of news from around the agency.
CMS Extends MassHealth Demonstration Promoting Affordable Coverage, Continuous Eligibility to Additional Populations, and Health-Related Social Needs Services
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Press Releases
CMS is aware that on April 25, 2024, the Medicare Administrative Contractors (MACs) released a proposed Local Coverage Determination (LCD) to provide appropriate coverage for skin substitute grafts used for chronic non-healing diabetic foot and venous leg ulcers. The MACs issued
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Fact Sheets
Managed care is the predominant delivery system in Medicaid and the Children’s Health Insurance Program (CHIP), with over 70% of Medicaid and CHIP beneficiaries receiving some or all of their care through a managed care plan.[1],[2] In recent years, CMS and states have strived to
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Fact Sheets
Ensuring beneficiaries can access covered services is a critical function of the Medicaid program and a top priority of the Department of Health and Human Services, Centers for Medicare & Medicaid Services (CMS). Executive Order 14009 in 2021 established the policy objective to
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Fact Sheets
On April 22, 2024, the Centers for Medicare & Medicaid Services (CMS) affirmed its commitment to hold nursing homes accountable for providing safe and high-quality care for the nearly 1.2 million residents living in Medicare- and Medicaid-certified long-term care facilities by is