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CMS Finalizes Rule to Protect Medicaid Provider Payments

The Centers for Medicare & Medicaid Services (CMS) today released the Medicaid Provider Reassignment Regulation final rule removing a state’s ability to divert portions of Medicaid provider payments to third parties outside of the scope of what the statute allows.
Press Release

Notice of Proposed Rulemaking (NPRM); Medicaid Program; Medicaid and Children’s Health Insurance Program (CHIP) Managed Care (CMS-2408-P)

In 2016, CMS issued a final rule that was a comprehensive rewrite of the Medicaid and CHIP managed care regulations to better align managed care rules with other health care coverage programs.
Fact Sheet

CMS Proposes Changes to Streamline and Strengthen Medicaid and CHIP Managed Care Regulations

Proposed Rule Continues Commitment to Promote Flexibility, Strengthen Accountability, and Maintain and Enhance Program Integrity in Medicaid and CHIP
Press Release

CMS Releases Formal Approach to Ensure Medicaid Demonstrations Remain Budget Neutral

Today, the Centers for Medicare and Medicaid Services (CMS) released a letter to State Medicaid Directors that clearly describes CMS’s current approach to calculating budget neutrality expenditure limits for Medicaid section 1115 demonstration projects.
Press Release

CMS Proposes Rule Change to Protect Medicaid Provider Payments

Today, the Centers for Medicare & Medicaid Services (CMS) proposed changes to the Medicaid Provider Reassignment regulation that would eliminate state’s ability to divert Medicaid payments away from providers, with the exception of payment arrangements explicitly authorized by statute.
Press Release

Speech: Remarks by CMS Administrator Seema Verma at the Medicare Advantage and Prescription Drug Plan Spring Conference

Welcome to CMS and thanks for joining us today, as we look ahead to 2019 for the Medicare Advantage and Part D programs. It’s a pleasure to be here with you and to provide an update on all that we have been doing to strengthen and improve these important programs for our nation’s seniors and the disabled.
Fact Sheet

Speech: Remarks by CMS Administrator Seema Verma at the American Hospital Association Annual Membership Meeting

Good morning, and thank you for that kind introduction. I also want to thank the American Hospital Association for the invitation. For those of you that don’t know me, I spent the early days of my career at a public hospital.
Fact Sheet

Bundled Payments for Care Improvement Initiative (BPCI)

The Bundled Payments for Care Improvement initiative (BPCI) is comprised of four broadly defined models of care, which link payments for multiple services beneficiaries receive during an episode of care.
Fact Sheet

Basic Health Program Funding Methodology Proposed Notice

The Centers for Medicare & Medicaid Services (CMS) today issued a proposed notice establishing the methodology for determining federal funding for the Basic Health Program in program year 2016.
Fact Sheet