Author: Rob

Health Center Regulatory Issues, Uncategorized

CMS Issues Final Rule on Medicaid Primary Care Payments

By: Susan Sumrell  On November 1, 2012, CMS issued its final regulation on a new Medicaid rule, increasing payments to Medicaid primary care physicians to the rates of Medicare primary care physicians.   This rule enacts a provision from the Affordable Care Act, which was first issued in May 2012 in proposed form, intended to …

Health Center Regulatory Issues, Uncategorized

HHS OIG Issues 2013 Work Plan, Includes Health Center Audits

By: Susan Sumrell The HHS Office of Inspector General has released its Fiscal Year 2013 Work Plan, which lays out the Agency’s work for the upcoming fiscal year.  Most noteworthy is the focus on health centers for several audits, examining the funding and requirements found in the Affordable Care Act and the American Recovery and Reinvestment Act.  We will …

Health Center Regulatory Issues, Uncategorized

HHS Releases Two Important Final Rules (Stage 2 MU and new HIPAA standard)

By Susan Sumrell Last week HHS released its final rule on Stage 2 of Meaningful Use.  We are currently reviewing the rule now, but wanted to share the final rule itself as well as the corresponding CMS fact sheet.  You may recall that we submitted comments on the Stage 2 proposed rule.  As part of …

Health Center Regulatory Issues, Uncategorized

CMS to Hold Regional Stakeholder Engagement Teleconferences on Exchanges and Expanded Insurance Options

By Susan Sumrell CMS has asked that we share the following information with you all on its upcoming Regional Stakeholder Engagement Teleconferences on Health Insurance Marketplace and Expanded Insurance Options.  Please click the invitation below to find your state’s teleconference date and time. CMS Invite Regional Stakeholder Engagement Teleconferences    

Health Center Regulatory Issues, Uncategorized

CMS to allow ACA Medicaid expansion to be a “fully voluntary expansion”

By Susan Sumrell Cindy Mann, Director of the Center for Medicaid and CHIP Services, spoke this week at the annual conference for the National Council of State Legislatures in Chicago and outlined the Centers for Medicare and Medicaid Services’ (CMS) thoughts on the Supreme Court of the United States (SCOTUS) ruling and the impact on …

Health Center Regulatory Issues, Uncategorized

New 340B Registration Deadlines Announced and OPA Webinar on 340B

By: Susan Sumrell Today’s Federal Register included a Notice from HRSA’s Office of Pharmacy Affairs about the revised deadlines for registering new 340B covered entities and adding outpatient facilities and contract pharmacies to the 340B program.   These new deadlines, which become effective October 1, 2012. The deadlines for new covered entities and the addition of …

Health Center Regulatory Issues, Uncategorized

Governors Split on Medicaid Expansion Following SCOTUS Ruling

By: Adam Sampiev Following the Supreme Court’s ruling of the mandate to expand Medicaid to 133% of poverty unconstitutional, states have split on how to move forward with regard to this highly political issue in an election year. At least 15 governors, including 14 are Republicans and one Democrat (AL, GA, IN, MS, MO, NV, …

Health Center Regulatory Issues, Uncategorized

Medicare Proposes Rule on Bad Debt Reductions

By: Susan Sumrell The July 11 Federal Register includes a proposed rule from the Centers for Medicare and Medicaid Services (CMS) on reductions in bad debt collections for all Medicare providers.  This proposed rule is a result of Section 3201 of the Middle Class Tax Extension and Job Creation Act of 2012, which was passed …

Health Center Regulatory Issues, Uncategorized

CCIIO Clarifies Exchange Payment Issue in Letter to NACHC

By: Susan Sumrell On June 8, the Center for Consumer Information and Insurance Oversight (CCIIO), the agency responsible for the creation and approval of Exchanges, responded to a letter from NACHC sent earlier this year seeking clarification on the final rule (published on March 27, 2012) on Exchanges.  Specifically, we were looking for clarification that a Qualified Health …