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Healthcare Reform › 1115 Waivers

Epstein Becker & Green

CMS Tells States “No More” Medicaid Section 1115 Matching Funds for Designated State Health Programs (DSHP) and Designated State...

Epstein Becker & Green on

In recent years, the Centers for Medicare & Medicaid Services (CMS) has approved demonstrations under Section 1115 of the Social Security Act, providing federal matching funds for state expenditures for Designated State...more

McDermott+

Policy Update - New York 1115 Waiver Amendment Timeline for Medicaid Hospital Global Budget Initiative

McDermott+ on

A key element of the Medicaid Redesign Team 1115 Waiver amendment is the Medicaid Hospital Global Budget Initiative (GBI), a reimbursement model tied very closely to the States Advancing All-Payer Health Equity Approaches and...more

Farrell Fritz, P.C.

CMS Approves a New 1115 Waiver Amendment: The New York Health Equity Reform (NYHER) Program

Farrell Fritz, P.C. on

On January 9, 2024, the federal Centers for Medicare and Medicaid Services (CMS) finally approved New York State’s 1115 waiver amendment to establish the New York Health Equity Reform (NYHER) Program. That application, which...more

Epstein Becker & Green

An Overview of the CMS Approved New York 1115 Medicaid Waiver

Epstein Becker & Green on

On January 9, 2024, the Center for Medicare and Medicaid Services (CMS) sent a letter to New York’s Medicaid director approving New York’s Section 1115 Waiver amendment, which the state submitted for approval on September 2,...more

Foley Hoag LLP - Medicaid and the Law

Advocates File Suit Over Tennessee Waiver – Dissecting the Complaint

Foley Hoag LLP - Medicaid and the Law on

On April 22, 2021 the Tennessee Justice Center and the National Health Law Program, representing thirteen (13) aggrieved Medicaid beneficiaries in the state of Tennessee, filed suit in the U.S. District Court for the District...more

Foley Hoag LLP - Medicaid and the Law

CMS Begins Internal Purge of Trump-Era Medicaid Policies

Foley Hoag LLP - Medicaid and the Law on

While CMS has been relatively quiet as of late from a public-facing perspective as it waits for new political leadership to arrive (including newly announced CMS Administrator, Chiquita Brooks-LaSure), a recent review by your...more

Mintz - Health Care Viewpoints

The Buzz About Block Grants

Mintz - Health Care Viewpoints on

With the recent scoop from Politico that the Trump Administration is considering giving states the ability to implement Medicaid block grants, there has been considerable speculation on what the Administration is planning....more

Mintz - Health Care Viewpoints

Overview of the Virginia 1115 Medicaid Waiver Application

Mintz - Health Care Viewpoints on

On November 20, 2018, Virginia submitted an application to CMS for a Section 1115 demonstration program entitled Virginia COMPASS (Creating Opportunities for Medicaid Participants to Achieve Self-Sufficiency). The application...more

Mintz - Health Care Viewpoints

A Rundown of Recent State Action Relating to Medicaid Expansion

Mintz - Health Care Viewpoints on

To date, 34 states (including D.C.) have adopted Medicaid expansion. Of the remaining 17 states, some are considering expanding Medicaid. States with recent activity relating to Medicaid expansion include Florida, Idaho,...more

Mintz - Health Care Viewpoints

What Lessons Can We Take From The Administration’s Refusal to Allow Idaho to Dismantle the ACA Marketplaces?

Mintz - Health Care Viewpoints on

In early January, Idaho Governor Butch Otter signed an executive order (EO) directing the state’s Department of Insurance (DOI) to “seek creative options” to expand “access” to health insurance coverage for Idahoans. The EO...more

Mintz - Health Care Viewpoints

ML Strategies – 2018 Health Care Preview

Mintz - Health Care Viewpoints on

Happy New Year!?! 2017 was an eventful year for health care, and now we can all sit back and relax with very little concern that major health policy will be on the table in 2018. Right? Why must Speaker Ryan ruin our...more

Sheppard Mullin Richter & Hampton LLP

Medicaid Demonstration Waivers: A Shorter Path to Increasing State Control Over Healthcare Policy?

Sheppard Mullin Richter & Hampton LLP on

Seema Verma’s nomination to head the Centers for Medicare and Medicaid Services (CMS) places Section 1115 Medicaid demonstration waivers into increasing spotlight. This article explores some of the current applications of...more

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