On December 10, 2020, the Centers for Medicare & Medicaid Services (“CMS”) issued a proposed rule to revise the prior authorization process and to add new requirements for state Medicaid and Children’s Health Insurance Program (“CHIP”) fee-for-service programs, Medicaid managed care plans, CHIP managed care entities, and Qualified Health Plan issuers on the Federally-facilitated Exchanges … Continue reading
On October 6, 2015, the HHS Office of Inspector General (OIG) issued guidance addressing its policy on the offer of electronic health record (EHR) technology that is purposefully limited in interoperability among providers. OIG’s guidance, entitled “OIG Policy Reminder: Information Blocking and the Federal Anti-Kickback Statute” is intended to reiterate that evidence of “information blocking” … Continue reading