Newsletters

06.13.16

CMS Clarifies Medicaid Managed Care Prescription Drug Access

The recently finalized Medicaid managed care regulations clarify an important point about prescription drug coverage in Medicaid managed care plans. Just as is the case in fee-for-service (FFS) Medicaid, beneficiaries enrolled in Medicaid managed care plans are entitled to any medically necessary ...


06.07.16

Manatt on Health Reform: Weekly Highlights, June 7, 2016

Arkansas’ Governor requests to transition to a “State-based Marketplace on the Federal Platform;” Louisiana launches Medicaid expansion with SNAP fast-track enrollment; and 2016 premium increases are lower for on-Marketplace than off-Marketplace plans.


06.02.16

Manatt on Medicaid: Leveraging MMC Contracts to Advance Reforms

In the final Medicaid managed care (MMC) rule published on April 25, 2016, the Centers for Medicare and Medicaid Services (CMS) clarifies states’ flexibility to use their contracts with plans for the purpose of advancing federal and state efforts to improve access, quality and efficiency in ...


06.01.16

Manatt on Health Reform: Weekly Highlights, June 1, 2016

Oregon decides to stick with HealthCare.gov’s enrollment platform; North Dakota begins re-examining Medicaid expansion in light of a 2017 sunset clause; and Vermont establishes a special enrollment period for pregnancy.


05.31.16

Manatt on Medicaid: CMS Introduces Time-Limited MMC Supplemental Payments

On April 25, 2016, the Centers for Medicare and Medicaid Services (CMS) released its highly anticipated final rule to overhaul the regulations governing Medicaid managed care (MMC) and make conforming changes to state Children's Health Insurance Program (CHIP) regulations.


05.26.16

Manatt on Medicaid: Monthly Expansion Recap, May 2016

The Alaska House of Representatives has filed an appeal to the State Supreme Court seeking reinstatement of its lawsuit against Governor Bill Walker's (I) executive order expanding Medicaid, according to the Alaska Daily News.


05.24.16

Manatt on Health Reform: Weekly Highlights, May 24, 2016

Uninsurance hit a record-breaking low of 9.1% in 2015; Vermont legislators pass a bill to increase drug formulary and price transparency; and California rolls out its State-funded Medi-Cal expansion to undocumented children.


05.23.16

Actions to Advance Infant and Early Childhood Mental Health

In the first three years of life, a child's brain grows faster than any other time, charting the course for all areas of brain development.


05.20.16

Manatt on Medicaid: Beneficiary Support and Enrollment Requirements

On April 25, 2016, the Centers for Medicare and Medicaid Services (CMS) released its final rule that significantly overhauls regulations governing Medicaid managed care.


05.17.16

Manatt on Health Reform: Weekly Highlights, May 17, 2016

Maryland becomes the first State to mandate over-the-counter contraceptive coverage; Missouri plans to increase Medicaid asset limitations by 500% by 2021; and HHS' final rule extends protections against sex discrimination to the healthcare setting.