http://www.gao.gov/new .items/d08529.pdf. Accessed September 8, 2010.Government Accountability Office. Medicaid Home and Community-Based Waivers: CMS Should Encourage States to Conduct Mortality Reviews for Individuals with Developmental Disabilities. GAO-08-529. Washington D.C. May 2008....
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...
The materials encompass checklists for the 1115 Medicaid Demonstration waiver and the 1135 waiver, as well as templates for the 1915(c) Appendix K regarding home and community-based services and the Medicaid Disaster State Plan Amendment. The guidance for the 1115 Medicaid demonstration wa...
Waivers and exemptions available, but ability to obtain them unclear Compliance with facility assessment changes required by August 8, 2024 In a long-anticipated rulesubmitted for public inspectionon April 22, 2024, the Centers for Medicare & Medicaid Services (CMS) finalized the minimum...
Meanwhile, the pauses will likely increase the hassle states face. As state Medicaid programs are struggling to maintain regular workflows due to staffing challenges, they now must go back and reprocess cases, furthering their backlogs. KFF researcherspredictedthat between 8 million and...
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 Centers for Medicare & Medicaid Services (“CMS”) has announced its proposed rules for the Hospital Outpatient Prospective Payment (“OPPS”) and Ambulatory Surgical Center (“ASC”) Payment Systems, as well as its calendar year (CY) 2024 proposed Physician Fee Schedule (“PFS”), (...
Under this proposal, 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 th...
The Centers for Medicare & Medicaid Services (CMS) on Nov. 1, 2022, released the calendar year (CY) 2023 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System Final Rule with comment period (CMS-1772-FC), which includes proposa...
On August 2, 2023, CMS wrote a letter to state Medicaid Directors explaining that states can continue their home-and community-based services (HCBS) Appendix K waivers past November 11, 2023, when the COVID-19 PHE-era waivers are currently set to expire. The Appendix K waivers are valid ...