Medicaid
has transformed health care for low-income families and individuals, especially children, pregnant mothers, parents and children with disabilities and special health care needs.
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Would Benjamin Franklin’s Volunteer Fire Brigade Satisfy DHHS’s Proposed Rule on Medicaid Work Reporting “Community Engagement” Requirements?
Americans, as French political scientist Alexis de Tocqueville observed in 1831, have a special propensity for coming together outside of government as volunteers for community improvement. From Benjamin Franklin’s organization of the nation’s first volunteer fire brigade to President George H. W. Bush’s 1989 call for Americans to volunteer as a “thousand points of light,”…
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CMS Ignores the Law (Again) – This Time Taking Health Insurance Away from Individuals with Substance Use Disorders, Mental Health Conditions, and Serious Health Conditions
Just a few weeks ago, we explained how the Center for Medicare and Medicaid’s (CMS) proposed regulation on state directed payments goes far beyond the statutory authority in H.R. 1 to incredibly harmful effect. Now it has happened again. This time CMS has issued an interim final rule on work reporting requirements (the “IFR”) that…
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The Administration Weaponizes Fraud Against Medicaid: HHS OIG Hammers Hawaii
On May 13, Vice President Vance, the chair of the White House Task Force to Eliminate Fraud, held a press conference. He announced the deferral of $1.3 billion in federal Medicaid matching payments owed to California, which received considerable attention. He also announced that the HHS Inspector General had by letter that day warned state…
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A Decade Later, CMS Updates the Medicaid EPSDT Playbook for States: Here’s What You Need to Know
The Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) benefit is the heart of Medicaid’s coverage for children, and something we have been tracking for a long time. As highlighted in past blog posts, the Centers for Medicare & Medicaid Services’ (CMS) released a landmark state health official letter in 2024 followed up by issuance…
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New Federal Medicaid Work Reporting Rule Threatens Coverage for Vulnerable Americans
Statement by Joan Alker, Executive Director of the Georgetown University Center for Children and Families and Research Professor at the McCourt School of Public Policy: “This rule gives states a raw deal, but more importantly, puts health care at risk for people with illnesses and chronic conditions like cancer or a substance use disorder. It…