They said this calls for a reevaluation of AOMs that are used to treat obesity as a chronic disease, not just for weight loss, which would not fall under the statutory exclusion.3 “The paper calls on [the] FDA to update [obesity] guidance. Fortunately, in July of...
On Jan. 13, 2022, theU.S. Supreme Court permittedthe Centers for Medicare & Medicaid Services (CMS) to enforce itsinterim final rulerequiring many Medicare- and Medicaid-certified providers and suppliers to vaccinate their staff for COVID-19. Based on this decision and added guidance issued by...
The Centers for Medicare and Medicaid Services ("CMS") published a final notice outlining the processes and procedures for the Transitional Coverage for Emerging Technologies ("TCET") pathway, a Medicare coverage pathway...more Rethinking FDA’s Accelerated Approval Pathway: New Draft Guidances and...
In a recent informational bulletin, the Centers for Medicare & Medicaid Services (CMS) urged states to ensure that Medicaid beneficiaries with disabilities retain coverage for home-and community-based services (HCBS). The loss of HCBS puts beneficiaries at risk of instit...
The Centers for Medicare & Medicaid Services (CMS) published aFinal Ruleon April 4, 2024, that makes a number of changes to regulations governing the Programs of All-Inclusive Care for the Elderly (PACE). Among other things, the Final Rule gives CMS additional grounds on which to deny PACE...
The Medicaid program generally has more generous coverage rules for children than for adults. For example, under the Early and Periodic Screening, Diagnostic and Testing (EPSDT) provisions of the Medicaid statute, if a child’s medical condition is identified via an EPSDT screening, the state’s...
Chapter III: Policy Guidance The updates listed below have been made to the Policy Guidance Chapter Version 7.9 of the NGHP User Guide. As indicated on prior Section 111 NGHP Town Hall teleconferences, the Centers for Medicare & Medicaid Services (CMS) continue to review reporting requirements ...
“Medicare and Medicaid Programs; Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency”—is aimed at assisting providers in responding to the current PHE as well as future disasters by making permanent regulatory changes with time limited activation. The rule ...
states would pay annually in advance for the anticipated utilization of the optional VCI Hub service. However, State Medicaid andCHIPagencies could request federal financial participation for their share of the costs. In addition, states may receive a 75% federal match for their Medicaid system ope...
On July 13, 2022, HHS issued guidance to roughly 60,000 U.S. retail pharmacies, reminding them of their obligations under federal civil rights laws. The guidance makes clear that as recipients of federal financial assistance, including Medicare and Medicaid payments, pharmacies are prohibited under...