As I have previously explained, under the highly effective Medicaid Drug Rebate Program, drug manufacturers must provide substantial rebates to the federal government and states as a condition of having their drugs covered by Medicaid. The rebates apply to both fee-for-service and to managed care. A groundbreaking 2021 Congressional Budget Office study found that compared […]
In last week’s Unwinding Wednesday blog, my colleague Allie Gardner noted that CMS is requiring states to provide supplemental data for monitoring the unwinding of the Medicaid continuous coverage protection. These data are in addition to the performance indicator data that states have been required to submit monthly since 2013. But … the supplemental data […]
On November 8, the Supreme Court will hear oral argument in what my colleague Leo Cuello has called “the most consequential case you’ve never heard of:” Health and Hospital Corporation of Marion County v. Talevski. The case began as a lawsuit against a county-owned nursing facility in Indiana by a now-deceased resident who alleged that […]
The Supreme Court, the same court that trashed decades of settled precedent to overturn Roe and, in NFIB, for-the-first-time-ever ruled that a federal spending program (the Medicaid expansion) was “coercive” upon states, that court, is about to decide whether to completely wipe out the rights of Medicaid enrollees. Buckle up, friends. On November 8, the […]
Last week, the U.S. Department of Health and Human Services announced it will be awarding up to $15 million in new planning grants to states as part of its national expansion of the Medicaid-funded Certified Community Behavioral Health Clinic (CCBHC) demonstration program under the Bipartisan Safer Communities Act. The announcement comes on the heels of […]
Georgetown University Center for Children and Families submitted comments to CMS on the “Medicaid Program; Temporary Increase in Federal Medical Assistance Percentage (FMAP) in Response to the COVID-19 Public Health Emergency (PHE); Reopening of Public Comment Period”. CCF Comments IFR-C MOE 2022
