The Centers for Medicare & medicaid Services (CMS) recently released new Medicaid managed care regulations that update CMS policy on State Directed Payments (SDP). In this blog we’ll cover what SDPs are, how they can be used to improve access to care, and some changes in how CMS will allow and regulate them. You can […]
Much has been written about the enormous task state agencies have faced as they returned to routine operations during the unwinding of the Medicaid continuous enrollment requirement. While the primary focus (rightfully) has been around renewals and the renewal process, states have other eligibility and enrollment operational responsibilities including processing applications for new applicants or […]
Have you ever watched an instructional video about how to cut an avocado? Or how to change a car tire? Even short, explanatory videos about some of the simplest tasks can garner thousands of views from individuals looking to learn a new skill. The complexities of Medicaid and the Children’s Health Insurance Program (CHIP) are […]
After a week full of partisan and poorly-reasoned Supreme Court decisions, it was a relief to see that at least one federal court continues to do its job faithfully. The U.S. District Court for the District of Columbia issued yet another stellar section 1115 demonstration decision, in a case called Rose v. Becerra, vacating the […]
The Medicaid and Children’s Health Insurance Program (CHIP) Managed Care Access, Finance, and Quality final rule makes significant improvements to managed care quality requirements, including boosting transparency and reducing reporting lag times. When fully enacted, these changes will transition states from reporting a single overall quality rating for a managed care plan to rating all […]
A power-hungry Supreme Court continues its steady drift away from established legal doctrine and long-standing precedent, acting instead based on political motives and expedience, to the detriment of the country. Today in a 6-3 party-line decision, in Loper Bright v. Raimondo, the Supreme Court pulled yet another 180-degree turn on long-standing precedent, overturning what is […]
