Kimberly Rai

King & Spalding

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Latest Posts › Centers for Medicare & Medicaid Services (CMS)

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CMS Reviews Quality Standards on Gender Transition Procedures

CMS announced in a letter released on Tuesday, May 27, 2025 (CMS Letter) that it will ramp up financial oversight of states to detect misuse of federal Medicaid funds “[t]o ensure that federal money is not used to pay for or...more

6/12/2025 / Centers for Medicare & Medicaid Services (CMS) , Children's Health Insurance Program (CHIP) , Gender Identity , Healthcare , Healthcare Facilities , Hospitals , Medicaid , Proposed Rules , Regulatory Requirements , Reporting Requirements

OIG Audit Finds That Providers Did Not Always Comply with Federal Requirements When Claiming Medicare Bad Debts

This month, OIG published its findings relating to its audit on providers who sought reimbursement from Medicare for bad debts. OIG conducted the audit to confirm whether: (a) providers complied with Federal requirements...more

1/3/2023 / Audits , Bad Debt , Centers for Medicare & Medicaid Services (CMS) , MACs , Medicare , OIG , Policies and Procedures

CMS Eyes State Medicaid Programs as Part of the Biden Administration’s Plan to Improve Nursing Home Care

For the Biden administration, the over 200,000 COVID-related deaths of nursing home residents and staff have served as a powerful signal for the need for nursing home reform. As part of the administration’s reform efforts,...more

9/1/2022 / Biden Administration , Centers for Medicare & Medicaid Services (CMS) , Coronavirus/COVID-19 , Department of Health and Human Services (HHS) , Medicaid , Medicare , Nursing Homes , Reporting Requirements , Value-Based Care

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