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House E&C Committee leaders expand Medicaid fraud investigation
Republican leaders on the House Committee on Energy and Commerce March 5 announced they were expanding their ongoing investigation into waste, fraud and abuse within Medicaid programs by sending letters to 10 additional states to request information and documents on actions each state is taking to strengthen Medicaid program integrity.
CMS issues toolkit on behavioral health services for children in Medicaid, CHIP
The Centers for Medicare & Medicaid Services has released a toolkit that outlines strategies for states to strengthen access to behavioral health services for children enrolled in Medicaid and the Children’s Health Insurance Program.
CMS announces actions addressing fraud
The Centers for Medicare & Medicaid Services Feb. 25 released a request for information on potential regulatory changes in a possible future proposed rule called Comprehensive Regulations to Uncover Suspicious Healthcare, or CRUSH.
AHA submits comments on CMS proposed rule on prohibiting ‘sex-rejecting procedures’ for children
The AHA Feb. 17 submitted a comment letter responding to the Centers for Medicare & Medicaid Services’ proposed rule that would prohibit hospitals participating in the Medicare and Medicaid programs from performing “sex-rejecting procedures” on individuals under 18 years of age.
CMS issues updated guidance on state-directed payment provision
The Centers for Medicare & Medicaid Services Feb. 2 revised its approach to determining grandfathering eligibility by redefining the 180‑day window around July 4, 2025, to be calculated using business days.
CMS finalizes changes to Medicaid provider tax waiver rules
The Centers for Medicare & Medicaid Services Jan. 29 issued a final rule regarding states non-uniform or non-broad-based provider tax, as authorized under special waivers.
House passes appropriations package for health care funding, extends key health care provisions
The House Jan.
AHA comments on proposed ‘public charge’ rule
The AHA Dec. 19 submitted comments on the Department of Homeland Security’s proposed rule regarding the Public Charge Ground of Inadmissibility, urging the department to “exclude Medicaid and the Children’s Health Insurance Program (CHIP) from its public charge determinations.”
CMS issues state guidance on Medicaid community engagement requirements
The Centers for Medicare & Medicaid Services released guidance Dec. 8 for states implementing Medicaid community engagement requirements outlined by the budget reconciliation bill.
CMS bulletin summarizes Medicaid, CHIP provisions from budget reconciliation bill
The Centers for Medicare & Medicaid Services released a bulletin Nov. 18 summarizing provisions from the budget reconciliation bill related to Medicaid and the Children’s Health Insurance Program.