Newsletters

12.08.22

Recent Updates to Section 1115 Waiver Budget Neutrality Policy: Overview and Implications for States

Section 1115 Medicaid demonstrations are a powerful tool for states to pursue a range of innovative programs aimed at improving the health and well-being of Medicaid enrollees by allowing the secretary of the Department of Health and Human Services to waive components of federal Medicaid law and ...


09.01.22

CMS Approves Renewal of Vermont’s 1115 Demonstration

On June 28, 2022, the Centers for Medicare & Medicaid Services approved a five-and-a-half-year renewal of Vermont’s Global Commitment to Health Section 1115 demonstration.


08.03.22

Recent Developments in Section 1115 Waiver Budget Neutrality Policy

Section 1115 of the Social Security Act permits the secretary of the Department of Health and Human Services to waive certain Medicaid program rules and provide federal funding for states to test innovative coverage and delivery system reforms that would further the objectives of the Medicaid ...


01.31.22

A Potential Public Option Path for Oregon

In July 2021, Governor Kate Brown signed into law HB 2010, which charges the Oregon Health Authority (OHA), in collaboration with the Department of Consumer and Business Services (DCBS), with developing a potential path for a public option in Oregon that is designed to increase the number of people ...


10.26.21

Incentives for COVID-19 Vaccination: Regulatory Considerations and Potential Federal Funding

As the COVID-19 pandemic approaches the two-year mark, the United States leads the world in new COVID-19 cases and deaths.


06.11.20

HHS Announces Provider Relief Fund Payments for Medicaid Providers, Hot Spot & Safety Net Hospitals

On June 9, the Department of Health & Human Services (HHS) announced its latest allocations of the $175 billion Provider Relief Fund, including approximately $15 billion for Medicaid providers that do not bill Medicare (predominantly outpatient providers), $10 billion for safety net hospitals ...


04.24.20

HHS Outlines Plans for $100 Billion Provider Relief Fund

Manatt explains new details HHS released on its plans to distribute relief funds to offset providers’ expenses & losses due to COVID-19.


04.24.20

Options for Increasing Medicaid Provider Payments During COVID-19 Crisis

As the COVID-19 pandemic continues to progress, providers across the continuum of care are experiencing significant changes in utilization resulting in declining revenue and jeopardizing access to care.


12.19.19

CMS Proposes Rule With Significant Medicaid Financing Implications

Over the past several years, federal Medicaid oversight and advisory bodies, including the Government Accountability Office (GAO) and the Medicaid and CHIP Payment and Access Commission (MACPAC), have issued reports calling on the Centers for Medicare & Medicaid Services (CMS) to strengthen its ...


11.20.18

North Carolina Waiver With ‘Healthy Opportunities’ Pilots Approved

On October 24, 2018, North Carolina received approval from the federal Centers for Medicare & Medicaid Services (CMS) of its 1115 waiver for a five-year demonstration period.