Newsletters

06.22.16

CMS Revises Process for Determining MMC Payments

In its April 25, 2016 Medicaid managed care final rule, the Centers for Medicare and Medicaid Services (CMS) provides a revised framework for determining how managed care plans should be paid by state Medicaid programs.


06.21.16

Manatt on Health Reform: Weekly Highlights, June 21, 2016

Massachusetts releases $1.8 billion DSRIP program waiver for public comment; CMS awards $32 million in grants to enroll uninsured children in Medicaid/CHIP; and Wisconsin withdraws proposed changes to Medicaid long-term care.


06.16.16

CMS Dramatically Expands Guidance on MMC Plan Payment

In its April 25, 2016 Medicaid managed care final rule, the Centers for Medicare and Medicaid Services (CMS) addresses a core issue: how managed care plans should be paid by state Medicaid programs.


06.14.16

Manatt on Health Reform: Weekly Highlights, June 14, 2016

CMS targets short-term insurance plans as it takes action in efforts to stabilize the individual market risk pool; Illinois mandates Medicaid coverage for opioid addiction treatment; and the Michigan legislature seeks to restructure state Medicaid financing.


06.13.16

CMS Clarifies Medicaid Managed Care Prescription Drug Access

The recently finalized Medicaid managed care regulations clarify an important point about prescription drug coverage in Medicaid managed care plans. Just as is the case in fee-for-service (FFS) Medicaid, beneficiaries enrolled in Medicaid managed care plans are entitled to any medically necessary ...


06.07.16

Manatt on Health Reform: Weekly Highlights, June 7, 2016

Arkansas’ Governor requests to transition to a “State-based Marketplace on the Federal Platform;” Louisiana launches Medicaid expansion with SNAP fast-track enrollment; and 2016 premium increases are lower for on-Marketplace than off-Marketplace plans.


06.02.16

Manatt on Medicaid: Leveraging MMC Contracts to Advance Reforms

In the final Medicaid managed care (MMC) rule published on April 25, 2016, the Centers for Medicare and Medicaid Services (CMS) clarifies states’ flexibility to use their contracts with plans for the purpose of advancing federal and state efforts to improve access, quality and efficiency in ...


06.01.16

Manatt on Health Reform: Weekly Highlights, June 1, 2016

Oregon decides to stick with HealthCare.gov’s enrollment platform; North Dakota begins re-examining Medicaid expansion in light of a 2017 sunset clause; and Vermont establishes a special enrollment period for pregnancy.


05.31.16

Manatt on Medicaid: CMS Introduces Time-Limited MMC Supplemental Payments

On April 25, 2016, the Centers for Medicare and Medicaid Services (CMS) released its highly anticipated final rule to overhaul the regulations governing Medicaid managed care (MMC) and make conforming changes to state Children's Health Insurance Program (CHIP) regulations.


05.26.16

Manatt on Medicaid: Monthly Expansion Recap, May 2016

The Alaska House of Representatives has filed an appeal to the State Supreme Court seeking reinstatement of its lawsuit against Governor Bill Walker's (I) executive order expanding Medicaid, according to the Alaska Daily News.