Medicaid

Federal Health Policy Update for Wednesday, March 16

The following is the latest health policy news from the federal government as of 2:30 p.m. on Wednesday, March 16. Some of the language used below is taken directly from government documents. Provider Relief Fund On March 22, 2022 at 11:59 p.m. (eastern), the HRSA COVID-19 Uninsured Program will stop accepting claims for testing and treatment due to lack of funds. On April 5, 2022 at 11:59 p.m. (eastern), the HRSA COVID-19 Uninsured Program and COVID-19 Coverage Assistance Fund will stop accepting vaccination claims due to a lack of funds. See the announcement of these changes. Providers that received Provider [...]

iqtsupport2022-03-16T17:41:14-04:00March 16, 2022|Centers for Medicare & Medicaid Services, Coronavirus, COVID-19, hospitals, MACPAC, Medicaid, Medicaid and CHIP Payment and Access Commission, Medicaid disproportionate share, Medicaid DSH, Medicaid DSH allotments, Medicaid upper-payment limit, Medicare post-acute care, Medicare reimbursement policy, MedPAC|

Federal Health Policy Update for Thursday, March 10

The following is the latest health policy news from the federal government as of 2:30 p.m. on Thursday, March 10. Some of the language used below is taken directly from government documents. White House The White House has posted a transcript of the March 2 press briefing given by its COVID-19 response team to outline the administration’s National COVID-19 Preparedness Plan. 340B Eligibility Protection and Telehealth Extensions in the Omnibus Spending Bill Providers that feared they might lose their eligibility to continue participating in the 340B prescription drug discount program because they have fallen below that program’s Medicare disproportionate share [...]

iqtsupport2022-03-10T17:37:25-05:00March 10, 2022|Centers for Medicare & Medicaid Services, Congress, Coronavirus, COVID-19, MACPAC, Medicaid, Medicaid and CHIP Payment and Access Commission, Medicaid managed care, Medicare, Medicare disproportionate share, Medicare DSH, Medicare reimbursement policy, MedPAC, Telehealth|

Federal Health Policy Update for Wednesday, March 2

The following is the latest health policy news from the federal government as of 3:00 p.m. on Wednesday, March 2. Some of the language used below is taken directly from government documents. Provider Relief Fund The Provider Relief Fund FAQ has been updated with three modified questions that address 1099 forms and procedures involved in returning Provider Relief Fund money to the federal government. Find the three updates, all marked “Modified 2/25/2022,” on pages 6 and 8 of the Provider Relief Fund FAQ. Federal Response to Surprise Billing Regulation Court Decision Last week a federal court decision invalidated a major [...]

iqtsupport2022-03-02T17:41:03-05:00March 2, 2022|Accountable Care Organization, Alternative payment models, Center for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services, CMMI, Coronavirus, COVID-19, MACPAC, Medicaid, Medicaid and CHIP Payment and Access Commission, Medicare, Medicare regulations, Medicare reimbursement policy, MedPAC|

Federal Health Policy Update for Friday, February 18

The following is the latest health policy news from the federal government as of 3:00 p.m. on Friday, February 18. Some of the language used below is taken directly from government documents. White House The White House has posted a transcript of the February 16 press briefing given by its COVID-19 response team and public officials. Go here to see the slides presented during the briefing. Centers for Medicare & Medicaid Services Health Policy Update CMS has issued a request for information (RFI) seeking feedback on topics related to Medicaid and the Children’s Health Insurance Program (CHIP), such as enrolling [...]

iqtsupport2022-02-18T17:15:56-05:00February 18, 2022|Center for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services, CMMI, COVID-19, health equity, Medicaid, Medicare, Medicare reimbursement policy, MedPAC|

CMS Will Eliminate Medicaid Premiums

The federal government intends to eliminate the premiums it has permitted some states to charge Medicaid beneficiaries in recent years. While the Centers for Medicare & Medicaid Services originally permitted states to charge Medicaid premiums as an inducement to persuade those states to expand their Medicaid programs, studies have found that the premiums mostly discouraged people from enrolling or reenrolling in Medicaid. CMS will compel Arkansas and Montana to phase out their Medicaid premiums by the end of the year and reportedly intends to impose similar requirements on the six other states that impose such fees. Learn more about Medicaid [...]

iqtsupport2022-02-15T06:00:44-05:00February 15, 2022|Medicaid, Medicaid regulations|

Federal Health Policy Update for Thursday, February 10

The following is the latest health policy news from the federal government as of 2:45 p.m. on Thursday, February 10. Some of the language used below is taken directly from government documents. Provider Relief Fund The reconsideration window for Provider Relief Fund Phase 4 payments and American Rescue Plan rural hospital payments is now open for providers to request reconsideration of their payments. This process is intended only for providers that believe their payment was not calculated correctly. They will not have an opportunity to submit an application if they missed a deadline; will not be able to revise or [...]

iqtsupport2022-02-10T16:46:29-05:00February 10, 2022|Centers for Medicare & Medicaid Services, Coronavirus, COVID-19, MACPAC, Medicaid, Medicaid and CHIP Payment and Access Commission, Medicare regulations|

Millions Could Lose Medicaid Coverage When COVID Crisis Ends

As many as 15 million Americans may be at risk of losing their health insurance when the COVID-19 public health emergency officially ends, according to a new Urban Institute report. When the COVID crisis began and people began losing their jobs – and with them, their health insurance – Congress increased funding to states for Medicaid under the condition that states not perform eligibility reviews on their Medicaid rolls under after the crisis ends. Since then, Medicaid enrollment has risen nearly 20 percent, and now, that 20 percent – and more – may be in jeopardy of losing their Medicaid [...]

iqtsupport2022-02-07T06:00:26-05:00February 7, 2022|COVID-19, Medicaid|

Federal Health Policy Update for Thursday, February 3

The following is the latest health policy news from the federal government as of 2:30 p.m. on Thursday, February 3. Some of the language used below is taken directly from government documents. Provider Relief Fund The reconsideration window for Provider Relief Fund Phase 4 payments and American Rescue Plan rural hospital payments is now open for providers to request reconsideration of their payments. This process is intended only for providers that believe their payment was not calculated correctly. They will not have an opportunity to submit an application if they missed a deadline; will not be able to revise or [...]

iqtsupport2022-02-03T17:46:52-05:00February 3, 2022|Center for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services, CMMI, Coronavirus, COVID-19, health equity, hospitals, MACPAC, Medicaid, Medicaid and CHIP Payment and Access Commission, Medicare regulations, Medicare reimbursement policy, MedPAC, Telehealth|

Federal Health Policy Update for Friday, January 28

The following is the latest health policy news from the federal government as of 3:45 p.m. on Friday, January 28. Some of the language used below is taken directly from government documents. Provider Relief Fund HHS and its Health Resources and Services Administration (HRSA) announced that this week they made more than $2 billion in Provider Relief Fund Phase 4 General Distribution payments to more than 7,600 providers. Nearly $11 billion of the $17 billion allocated for Provider Relief Fund Phase 4 payments have now been distributed. Phase 4 payments have an increased focus on equity, including reimbursing a higher [...]

iqtsupport2022-01-28T17:26:51-05:00January 28, 2022|Accountable Care Organization, ACO, Center for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services, Congress, Coronavirus, COVID-19, MACPAC, Medicaid, Medicaid and CHIP Payment and Access Commission, Medicare regulations, Medicare reimbursement policy, MedPAC|

Federal Health Policy Update for Tuesday, January 11

The following is the latest health policy news from the federal government as of 2:30 p.m. on Tuesday, January 11. Some of the language used below is taken directly from government documents. Provider Relief Fund HHS has updated its FAQ for reconsideration requests involving Phase 4 and rural hospital payments. Find the updated FAQ here. Department of Health and Human Services COVID-19 HHS announced that beginning January 15, individuals with private health insurance coverage who purchase an over-the-counter COVID-19 diagnostic test authorized, cleared, or approved by the FDA will be able to have those test costs covered by their insurance. [...]

iqtsupport2022-01-11T17:32:41-05:00January 11, 2022|Affordable Care Act, Alternative payment models, Center for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services, CMMI, Coronavirus, COVID-19, MACPAC, Medicaid, Medicare, Medicare reimbursement policy, MedPAC|