CMS

On April 21, 2016, the Centers for Medicare & Medicaid Services (CMS) issued a final rule on managed care in Medicaid and the Children’s Health Insurance Program (CHIP)This final rule updates the options available to states and Medicaid and CHIP managed plans to communicate with beneficiaries.

On April 21, 2016, the Centers for Medicare & Medicaid Services (CMS) issued a final rule on managed care in Medicaid and the Children’s Health Insurance Program (CHIP). The rule, which is the first overhaul of Medicaid and CHIP managed care regulations in more than a decade, advances the Administration’s efforts to modernize the health care system to deliver better care, smarter spending, and healthier people.

On April 21, 2016, the Centers for Medicare & Medicaid Services (CMS) issued a final rule on managed care in Medicaid and the Children’s Health Insurance Program (CHIP). The rule, which is the first overhaul of Medicaid and CHIP managed care regulations in more than a decade, advances the Administration’s efforts to modernize the health care system to deliver better care, smarter spending, and healthier people.

On Friday, April 8, the Centers for Medicare & Medicaid Services (CMS) released a final rule in the Federal Register to extend the deadline to October 1, 2016, for state submissions of the access monitoring review plan to CMS. The deadline was originally set for July 1, 2016. CMS published the final rule with comment period, Medicaid Program; Methods for Assuring Access to Covered Medicaid Services, on November 2, 2015.

The Centers for Medicare and Medicaid (CMS) Center for Program Integrity (CPI) Provider Enrollment Operations Group (PEOG) released the Medicaid Provider Enrollment Compendium (MPEC). The Compendium is a policy manual that contains sub regulatory guidance and clarifications regarding how state Medicaid agencies are expected to comply with regulations at 42 CFR § 455.

The Centers for Medicare & Medicaid Services (CMS) released the Community First Choice (CFC) Final Report to Congress. This CFC benefit allows states the option of adding home and community-based attendant services and supports to their State plans. The CFC report is required by the Affordable Care Act. The findings from four states that have implemented the Community First Choice benefit -- California, Montana, Maryland, and Oregon-- are described in the report

The Centers for Medicare & Medicaid Services (CMS) released their monthly report for December 2015 on Medicaid and CHIP application, eligibility determination, and enrollment data. States provides data to CMS on factors related to key application, eligibility and enrollment processes using the Medicaid and CHIP Performance Indicator Project. The data is then used to inform CMS on the operations of the programs in each state and to share state performance data publicly.

The Centers for Medicare & Medicaid Services (CMS) released the annual Nursing Facility initiative report. This report summarizes the impacts from the three-year-old initiative that tests the ways to reduce avoidable hospitalizations. Research from CMS shows that "approximately 45%" of hospitalizations could be prevented with the proper interventions. This report uses the data from experience during the second performance year of the initiative in 2014.

The Centers for Medicare & Medicaid Services (CMS) released their monthly report for November 2015 on Medicaid and CHIP application, eligibility, and enrollment data. States provides data to CMS on factors related to key application, eligibility and enrollment processes using the Medicaid and CHIP Performance Indicator Project. The data is then used to inform CMS on the operations of the programs in each state and to share state performance data publicly.

The Centers for Medicare & Medicaid Services (CMS) released their monthly report for October 2015 on Medicaid and CHIP application, eligibility, and enrollment data. States provides data to CMS on factors related to key application, eligibility and enrollment processes using the Medicaid and CHIP Performance Indicator Project. The data is then used to inform CMS on the operations of the programs in each state and to share state performance data publicly.