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Medicaid

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Photo: John Maniaci, American Family Children’s Hospital, Madison, Wisconsin

Understanding Medicaid

Medicaid covers millions of children across the U.S., providing them with the coverage and services they need to become healthy and productive adults. A strong Medicaid program is an important investment for children and the country.


Featured Resource

Medicaid 101
Online Learning
Medicaid 101 Sept. 13, 2019

Learn why Medicaid is a critical investment in our kids.


Resources

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Analysis or Summary
Hospital Negotiated Rates Disclosure Final Rule Summary
December 6, 2019

CMS released the Price Transparency Requirements proposed rule on Nov. 15.

Analysis or Summary
CHA Summary of Tennessee Medicaid Block Grant Proposal
December 6, 2019

Tennessee has released its Medicaid block grant proposal for public comment.

Press Release
Hospital Groups File Lawsuit Over Illegal Rule Mandating Public Disclosure of Individually Negotiated Rates
December 4, 2019

Today, four national organizations sued the federal government, challenging last month’s contract disclosure rule from CMS.

Analysis or Summary
CY 2020 Physician Fee Schedule Final Rule Summary
December 2, 2019

CMS released the CY 2020 Physician Fee Schedule final rule that outlines annual updates to the Schedule and Quality Payment Program.

Analysis or Summary
Medicaid Fiscal Accountability Regulation Summary
November 26, 2019

Please provide comments on CMS' proposed rule, "Medicaid Fiscal Accountability Regulation," which includes requirements on how states generate their non-federal Medicaid funding.

Analysis or Summary
Medicaid Disproportionate Share Hospital Cuts Methodology
November 25, 2019

CMS released a final rule to implement statutorily required DSH state allotment reductions that are scheduled to begin in FY 2020.

Analysis or Summary
HHS proposes overhaul of Stark Law and Anti-Kickback Statute regulations
November 14, 2019

HHS released two proposed rules revising the Stark Law and Anti-Kickback Statute regulations.

Issue Brief
CHA Backgrounder on Recent Immigration Policy Actions
November 4, 2019

This backgrounder provides an overview of recent policy actions by the administration and the courts with implications for immigrants' access to health coverage.

Analysis or Summary
House E&C Subcommittee holds oversight hearing on CMS’ health care actions
October 24, 2019

The House Energy and Commerce Oversight Subcommittee held a hearing examining actions on health insurance coverage under the Trump Administration.

Talking Points
Prevent the Medicaid DSH Cuts
October 24, 2019

Children's hospitals ask Congress to prevent the Medicaid DSH cuts that got into effect this year.

Analysis or Summary
Omnibus Burden Reduction (Conditions of Participation) Final Rule Summary
October 17, 2019

CMS released the Omnibus Burden Reduction final rule.

Analysis or Summary
CMS issues hospital discharge planning final rule
October 10, 2019

CMS released the Discharge Planning for Hospitals final rule.

Analysis or Summary
CY 2020 Medicare OPPS Proposed Rule Comment Letter
October 9, 2019

CHA submitted a comment letter for CMS' CY 2020 Medicare Hospital Outpatient Prospective Payment System proposed rule.

Analysis or Summary
Medicaid Access Rule Rescission – CHA Summary and Comment Letter
September 16, 2019

CMS released a proposed rule that removes critical regulatory provisions outlining current fee-for-service requirements.

Analysis or Summary
CHA summary of proposed changes to confidentiality of substance use disorder patient records regulations
September 13, 2019

SAMHSA released a proposed rule that modifies the confidentiality of SUD patient records regulations.

Analysis or Summary
Administrative Actions Chart
September 12, 2019

An overview of federal regulations and other administrative guidance of interest to children's hospitals.

Press Release
Children's Hospitals Alarmed by Drop in Children's Insurance Rate
September 11, 2019

A Census Bureau report shows a startling increase of uninsured children in 2018.

Analysis or Summary
Alston & Bird Backgrounder on Medical Deferred Action Status for Immigrants in Need of Medical Care
September 6, 2019

Alston & Bird prepared a backgrounder on medical deferred action status.

Reference Material
Consumer Price Indices and Health Care Policy
August 30, 2019

CHA has developed a one-pager about the use of consumer price indices in health care, specifically Medicaid per capita cap and block grant policies.

Analysis or Summary
FY 2020 Medicare IPPS Final Rule Summary
August 21, 2019

On August 2, the Centers for Medicare & Medicaid Services (CMS) released its FY 2020 Medicare Hospital Inpatient Prospective Payment System (IPPS) final rule.

Analysis or Summary
High-level Summary of Final Public Charge Rule
August 16, 2019

On Aug. 12, the U.S. Department of Homeland Security (DHS) released the final rule, “Inadmissibility on Public Charge Grounds.”

Analysis or Summary
CHA Comments on Proposed Rule to Roll Back Nondiscrimination Protections
August 13, 2019

HHS released a proposed rule to roll back key aspects of a former rule that implemented the ACA's non-discrimination provisions, known as Section 1557.

Press Release
Joint Statement from National Hospital Associations on DHS Public Charge Final Rule
August 12, 2019

Hospitals and health systems ask the administration to withdraw the public charge final rule—it would negatively impact the health of communities.

Talking Points
Contact Lawmakers: Setting a Benchmark Payment Rate Could Impede Access to Pediatric Care
July 18, 2019

The House Energy and Commerce Committee approved legislation to address surprise medical bills. Talking points on surprise billing are available.

Article
Report: Block Granting or Capping Medicaid Would Affect Kids Health Care Coverage
July 17, 2019

Implementing block grants or per capita caps could cut as much as $163 billion in funding for children in Medicaid programs.

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