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Georgia Officials Announce Section 1115 Waiver Application to Expand Medicaid Eligibility

On November 4, 2019, Georgia officials announced a proposed Section 1115 demonstration waiver, referred to as the “Georgia Pathways Health Waiver,” to expand Georgia’s Medicaid program eligibility for non-disabled adults. If...more

Coalition of Senators Voice Concerns Over Liver Distribution Policy Changes

On January 22, 2019, twenty-two (22) Senators sent a bipartisan letter to HHS (the Letter) to voice their concerns over a change in the national liver distribution policy adopted on December 3, 2018 (Revised Policy), by the...more

D.C. District Court Judge Strikes Down Kentucky’s Medicaid Work Requirement

Days before the Medicaid work requirement for Medicaid patients in Kentucky was to take effect, U.S. District Court Judge James Boasberg struck down the requirement in a decision issued June 29, 2018....more

Advocacy Group Files Suit against HHS to Stop 2% Sequestration Cut to Medicare Part B Drug Reimbursement

On May 30, 2018, the Community Oncology Alliance, Inc. (Alliance), a non-profit organization that advocates for community oncology practices, sued HHS, HHS Secretary Azar, the Office of Management and Budget (OMB) and OMB...more

CMS Updates the Medicare Program Integrity Manual Provisions Addressing ALJ Hearings

On October 13, 2017, HHS issued a transmittal change request to update Section 3.9 of the Medicare Program Integrity Manual (MPIM), stating that only one entity (CMS or a CMS contractor) may attend an ALJ hearing as a party,...more

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