The Medicaid Managed Care Rule (Final Rule) finalizes several new and updated standards to support and improve managed care accessibility, finance, and quality in Medicaid and the Children’s Health Insurance Program (CHIP). Recently released by the Centers for Medicare &
Medicaid
Medicaid Managed Care Final Rule makes sweeping changes to state directed payments
The new Medicaid Managed Care Final Rule (Final Rule), recently released by the Centers for Medicare and Medicaid Services (CMS), makes significant changes to state directed payments. The provisions in the Final Rule aim to enhance transparency and consistency in…
CMS Withdraws Proposed Medicaid Fiscal Accountability Rule


On Monday, September 14, 2020, the Centers for Medicare & Medicaid Services (“CMS”) Administrator Seema Verma announced on Twitter that CMS was withdrawing the proposed Medicaid Fiscal Accountability Rule (“MFAR”) from its regulatory agenda.
The MFAR, which was proposed in…
COVID-19 update: Trump issues Telehealth Executive Order
President Trump issued an Executive Order on August 3, 2020 that will continue the momentum for telehealth in rural areas.…
CMS Issues Second Round of Regulatory Waivers and Rule Changes


Today, the Centers for Medicare & Medicaid Services (CMS) released an additional round of regulatory waivers and rule changes to support the healthcare system during the COVID-19 pandemic. The changes include new rules to expand COVID-19 diagnostic testing, increase care…
COVID-19 Update: CMS releases additional guidance to states on how the FFCRA and CARES Act provisions apply to Medicaid and CHIP


On Monday, April 13, 2020, CMS released an updated FAQ on the enhanced Federal Medical Assistance Program (FMAP) and the Families First Coronavirus Response Act (FFCRA) implementation, as well as new guidance on CMS’ Coronavirus Aid, Relief, and Economic Security…
Update to Prior CMS Action: CMS Approves 11 New Medicaid Section 1135 Waivers; 13 States Total

On March 13, 2020, following President Trump’s declaration of a national emergency in response to the COVID-19 pandemic, CMS announced its approval of the first Section 1135 Waiver aimed at addressing the spread of COVID-19 (Coronavirus) in Florida. On March…
COVID-19 Update: Trump administration expands access to telehealth services for Medicare beneficiaries to combat COVID-19
On Tuesday, March 17, 2020, the Trump administration announced that it will immediately expand access to telehealth services for all Medicare beneficiaries during the COVID-19 outbreak. In coordination with this announcement, the Office for Civil Rights at the Department of…
CMS Proposes Major Changes in Medicaid Fiscal Accountability Rule

On November 12, 2019, the Centers for Medicare & Medicaid Services (CMS) published a proposed rule for public inspection entitled Medicaid Fiscal Accountability Regulation. CMS states that the intent of the proposed rule is to ensure that state supplemental…
Medicaid Update: D.C. Circuit Court of Appeals Reviews CMS Approval of Medicaid Work and Community Engagement Eligibility Requirements

Today, October 11, 2019, the United States Court of Appeals for the D.C. Circuit is hearing oral arguments in Stewart v. Azar (Case No. 19-5095), an appeal from the federal district court’s rulings invalidating three prior approvals of Section 1115 Waivers in Kentucky and Arkansas that would have implemented work and community engagement requirements as a condition of Medicaid eligibility. The three judge panel consists of Judges Pillard, Edwards, and Sentelle.