84 percent of Medicaid SPAs were approved within the first 90-day review period in first quarter of 2018, a 20 percent increase over calendar year 2016; a 7 percent decrease in median approval times for HCBS waivers; a 38 percent decrease in HCBS renewal approval times; and ame...
CMS final rule places unprecedented staffing burden on nursing facilities Waivers and exemptions available, but ability to obtain them unclear In a long-anticipated rulesubmitted for public inspectionon April 22, 2024, the Centers for Medicare & Medicaid Services (CMS) finalized the minimum...
Prescription Drug User Fee Act Waivers, Reductions, and Refunds for Fixed-Combinations and Single-Entity Versions of Previously Approved Antiretrovirals under the President’s Emergency Plan for Acquired Immunodeficiency Syndrome Relief; Draft Guidance for Industry; Availability. The draft guidance describes...
Two states have already been approved for these waivers. Florida was thefirst stateto apply and receive approval. The Florida waiver addresses using unlicensed sites of care, lifting certain administrative burdens for nursing homes, and extending appeal and state fair hearing deadlines. Washin...
while the Biden-Harris administration focusing on expanding coverage and addressing SDOH. For example, while the Trump administration approved 13 state work requirement waivers, the Biden-Harris administration withdrew all previously approved work requirement waivers. The Biden-Harris administration also gener...
The error may violate CMS regulations in two ways. First, it fails to assess eligibility on an individual basis. Second, in some cases, it may require those who have already been approved for Medicaid or CHIP coverage through ex parte methods to submit additional information...
1, 2023. CMS will categorize all NIOSH-approved surgical N95 respirators purchased by hospitals as either domestic or non-domestic, as domestically produced respirators are typically more expensive than those produced abroad. CMS will base the payment adjustments on the estimated differ...
The Centers for Medicare & Medicaid Services (CMS)approved a Medicaid waiver planopens in a new tab or windowin Georgia that would allow some uninsured state residents currently ineligible for Medicaid to opt into the program provided they are working or in school. ...
Once approved, waivers have a retroactive effective date of March 1, 2020, and will end no later than when the emergency declaration’s ended. Waivers don’t offer grants or financial assistance. They also don’t allow you to be paid for services that aren’t usually covered or for people...
CMS’s waiver authority also does not affect state law and, in fact, the waivers are expressly conditioned on compliance with state law. Hospitals should carefully review their state licensing rules and other standards to determine whether these rules (including any special Executive Orders or ...