Guest Post by Susannah Vance Gopalan, Esq., Partner at Feldesman Tucker Leifer Fidell LLP in Washington, DC with editorial contributions from Bethany Hamilton, Esq. of NACHC State Affairs Federally Qualified Health Centers (FQHCs) have experienced rapid declines in patient encounters and revenues since the onset of the pandemic, being forced to lay off employees or …
Tag: 1115 Waivers
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 …
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 …
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 …
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 …