Category: Health Center State Policy

Health Center State Policy

Washington Health Centers Implement New Payment Model

  This post was written by NACHC Summer Intern Madeleline Cole.  Last year, Washington became the second state in the country to implement a capitated Alternative Payment Methodology (APM), a forward-thinking payment model that removes the tie between payment and face-to-face visits and allows health centers greater flexibility in the care and services they provide. …

Health Center State Policy

U.S. District Court Judge Blocks Kentucky’s Section 1115 Medicaid Waiver

U.S. District Court Judge James E. Boasberg (DC) has issued the much anticipated decision on Stewart v. Azar, effectively blocking the implementation of the Kentucky HEALTH Medicaid waiver. Judge Boasberg found that the Kentucky HEALTH waiver, which would make unprecedented changes to the state’s Medicaid program, is not likely to assist in promoting the objectives …

Health Center Regulatory Issues, Health Center State Policy

CMS Issues Guidance on Community Engagement and Work Requirement Proposals for Medicaid

Today CMS published its much anticipated federal policy guidance (SMD: 18-002, see NACHC summary here) reiterating its support and describing considerations for states with an interest in pursuing Section 1115(a) Medicaid waivers to implement work and/or community engagement requirements for Medicaid. This effort began last year with a letter from then-Secretary Price and CMS Administrator …

Health Center Regulatory Issues, Health Center State Policy

CMS Issues Informational Bulletins on Waiver Processes

The Centers for Medicare and Medicaid Services’ (CMS’) Center for Medicaid and CHIP Services (CMCS) has issued two informational bulletins on changes to the Section 1115 Medicaid waiver process and State Plan Amendment and 1915 waiver process. The informational bulletins are a follow-up to a March 14 letter from CMS Administrator Seema Verma and then-HHS Secretary …

Health Center State Policy

States Work to Stabilize Health Insurance Marketplaces

By Erin Sheehan and Kersten Burns Lausch As states continue to see rising premiums and fleeing insurers in their individual insurance marketplaces, a number are looking to the new Section 1332 State Innovation Waiver option to make reforms and increase stability in the marketplaces. What is a 1332 Waiver? Created by Section 1332 of the …

Health Center State Policy, Social Determinants of Health

Removing Barriers to Care for Those Who Served Behind Bars

By Alisha Reginal, NACHC Intern Community Healthcare Network (CHN) is a Community Health Center with eleven sites that serve over 80,000 patients in Brooklyn, the Bronx, Queens, and Manhattan. Over 5,000 of CHN’s patients are enrolled in New York’s Health Homes program.  Created as part of the Affordable Care Act, the Section 2703 Health Homes program (now in operation …

Health Center Regulatory Issues, Health Center State Policy

Update on MACRA Implementation

By now many of you have heard of the new Medicare Quality Payment Program (QPP), born out of the Medicare and CHIP Reauthorization Act of 2015 (MACRA) that went into effect this year.   The QPP completely revamps the way Medicare pays its providers and is made up of two tracks, the Merit-Based Incentive Payment System …

Health Center Regulatory Issues, Health Center State Policy

Uncertainty Remains in the Marketplace

On April 13, 2017 CMS issued its final rule designed to make the ACA Marketplaces more appealing to insurers.  Under this final rule, starting for the 2018 plan year: The annual Open Enrollment Period will be shortened from 3 months to 6 weeks States will have full authority to determine if an insurer’s network has …

Health Center Regulatory Issues, Health Center State Policy

CMS, HHS Send Letter to Governors on Medicaid

Just after her Senate confirmation as Administrator of the Centers for Medicaid Services (CMS), Seema Verma joined HHS Secretary Tom Price in a letter to governors on their commitment to work together to improve the Medicaid program.   The letter states that the federal framework for Medicaid has not “kept pace with emerging evidence around the …

Health Center Regulatory Issues, Health Center State Policy

The New Medicaid Landscape: How the Administration May Increase Flexibility for States

While it is unclear what changes Congress may make to the Medicaid program, even without further Congressional action, changes are coming to Medicaid.  The recent Senate confirmations of Health and Human Services Representative Tom Price as Secretary of Health and Human Services and Seema Verma as Administrator of the Centers for Medicare and Medicaid Services …