CMS: Medicaid Program; Medicaid Fiscal Accountability Regulation Federal Register

Jan 19, 2021 - Notice from the Centers for Medicare and Medicaid Services (CMS) withdrawing the November 18, 2019 proposed rule, which would have created new reporting requirements for states to address the financing of supplemental and base Medicaid payments through the non-federal share.

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CMS: Medicare and Medicaid Programs; Contract Year 2022 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicaid Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly Federal Register

Jan 19, 2021 - Notice of final rule from the Centers for Medicare and Medicaid Services (CMS) revising regulations for Medicare Advantage (Part C), Medicare Prescription Drug Benefit (Part D), and the Medicare Cost Plan program, and Programs of All-Inclusive Care for the Elderly (PACE), among other things. This rule is effective March 22, 2021.

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CMS Issues New Roadmap for States to Address the Social Determinants of Health to Improve Outcomes, Lower Costs, Support State Value-Based Care Strategies

Jan 7, 2021 - The Centers for Medicare and Medicaid Services (CMS) issued guidance to state health officials describing how to adopt strategies that address the social determinants of health (SDOH) in Medicaid and the Children's Health Insurance Program (CHIP). Discusses how SDOH exacerbate health disparities among a variety of populations, including rural communities, and the guidance aims to help states improve population health and reduce costs.

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CMS: Agency Information Collection Activities: Submission for OMB Review; Comment Request Federal Register

Jan 4, 2021 - The Centers for Medicare and Medicaid Services is seeking comment on two information collections: 1) Solicitation for Applications for Medicare Prescription Drug Plan 2022 Contracts and 2) CMS Plan Benefit Package (PBP) and Formulary CY 2022 to collect plan bids to establish Medicare Advantage and Prescription Drug plan benefit package options for the next contract year. Comments are due by February 3, 2021.

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GAO: Request for Medicaid and CHIP Payment and Access Commission (MACPAC) Nominations Federal Register

Jan 4, 2021 - The Government Accountability Office (GAO) is accepting nominations for appointment to the Medicaid CHIP Payment and Access Commission (MACPAC). Appointments are effective May 2021. Letters of nomination and resumes are due by January 26, 2021.

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CMS: Medicaid Program: Establishing Minimum Standards in Medicaid State Drug Utilization Review and Supporting Value-Based Purchasing for Drugs Covered in Medicaid, Revising Medicaid Drug Rebate and Third Party Liability Requirements Federal Register

Dec 31, 2020 - Notice of final rule from the Centers for Medicare and Medicaid Services (CMS) regarding regulatory changes to support state flexibility to enter into value-based purchasing arrangements (VBPs) with manufacturers. This rule also implements provisions of the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act designed to reduce opioid-related fraud, misuse, and abuse through the Medicaid Drug Utilization Review (DUR) program. This rule is effective March 1, 2021.

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IHS: Reimbursement Rates for Calendar Year 2021 Federal Register

Dec 31, 2020 - Notice from the Indian Health Service (IHS) announcing the calendar year 2021 reimbursement rates for inpatient and outpatient care provided to Medicare, Medicaid, and other federal program beneficiaries by IHS facilities. The updated rates apply to all qualifying services provided on or after January 1, 2021.

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CMS: Medicaid Program; Patient Protection and Affordable Care Act; Reducing Provider and Patient Burden by Improving Prior Authorization Processes, and Promoting Patients' Electronic Access to Health Information for Medicaid Managed Care Plans, State Medicaid Agencies, CHIP Agencies and CHIP Managed Care Entities, and Issuers of Qualified Health Plans on the Federally-facilitated Exchanges; Health Information Technology Standards and Implementation Specifications Federal Register

Dec 18, 2020 - Notice of proposed rule from the Centers for Medicare and Medicaid Services (CMS) that would place new requirements on state Medicaid and CHIP fee-for-service (FFS) programs, Medicaid managed care plans, CHIP managed care entities, and Qualified Health Plan (QHP) issuers on the Federally-facilitated Exchanges (FFEs) to improve the electronic exchange of health care data and streamline processes related to prior authorization. The Office of the National Coordinator for Health Information Technology (ONC) is also proposing the adoption of certain specified implementation guides (IGs) needed to support the proposed Application Programming Interface (API) policies included in this rule. Comments are due by January 4, 2021.

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HHS: Federal Financial Participation in State Assistance Expenditures; Federal Matching Shares for Medicaid, the Children's Health Insurance Program, and Aid to Needy Aged, Blind, or Disabled Persons for October 1, 2021 Through September 30, 2022 Federal Register

Nov 30, 2020 - Notice from the Department of Health and Human Services releasing the Federal Medical Assistance Percentages (FMAP) rates for the period of October 1, 2021 through September 30, 2022. The rates are used to determine the amount of Federal matching for state Medicaid, Temporary Assistance for Needy Family (TANF) Contingency Funds, and Enhanced Federal Medical Assistance Percentages (eFMAP) rates for the Children's Health Insurance Program (CHIP) expenditures, among other federal assistance programs.

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