Medicaid

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

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.





Resources

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
CY 2020 Physician Fee Schedule Proposed Rule - CHA summary and comment letter
September 27, 2019

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

Analysis or Summary
CHA Summary of Tennessee Medicaid Block Grant Proposal
September 26, 2019

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

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.

Analysis or Summary
Avalere Report: The Effect of Block Grants and Per Capita Caps on Children
July 17, 2019

Under block grant or per capita cap proposals, Avalere estimates a potential loss in federal Medicaid funding to states, specifically for children, ranging from $89B to $163B nationally over 10 years.

Issue Brief
Section 1332 State Innovation Waivers
July 12, 2019

Section 1332 of the Affordable Care Act (ACA) allows states to seek a waiver of key coverage provisions in the law and to experiment with different health coverage models.

Analysis or Summary
CHA Summary of Informational Bulletin on Addressing Mental Health and Substance Use Issues in Schools
July 11, 2019

The Substance Abuse and Mental Health Services Administration (SAMHSA) and the Centers for Medicare and Medicaid Services (CMS) released a Joint Informational Bulletin (Bulletin) that includes examples of approaches for mental health and substance abuse related treatment services in schools and describes the existing Medicaid authorities states may use to cover these services in school-based settings.

Letter or Testimony
CHA Comment Letter on CMS Co-location Guidance
July 5, 2019

CHA submitted comments to CMS on draft Medicare Conditions of Participation (CoPs) interpretive guidance recently released in a State Survey Agency Directors memorandum.

Analysis or Summary
Key Section 1115 Medicaid Waivers
July 3, 2019

State-by-state summaries of waivers for statuatory Medicaid requirements as allowed by Section 1115 of the Social Security Act and approval of the Secretary of HHS.

Analysis or Summary
CHA Summary of Price and Quality Transparency Executive Order
June 28, 2019

On June 21, the president issued an executive order (EO) that instructs several federal agencies to take a variety of actions to increase health care price, quality, and data transparency.

Press Release
Children’s Hospital Association’s Speak Now for Kids Family Advocacy Day
June 25, 2019

The ACE Kids Act of 2019 (H.R. 1226) is introduced in the House by Reps. Castor, Bilirakis, Eshoo and Herrera Beutler.

Talking Points
Prevent the Medicaid DSH Cuts
June 24, 2019

Children's hospitals ask Congress to prevent the Medicaid DSH cuts that got into effect Oct. 1, 2019.

Letter or Testimony
CHA Joins Medicaid Groups in Expressing Concerns with the Medicaid “Fiscal Cliff” on U.S. Territories
June 21, 2019

This week, CHA joined allied Medicaid groups in raising concerns around the impact of the Medicaid fiscal cliff on beneficiaries and providers in the U.S. territories.

Contacts

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Policy Update Calls

Members receive the latest updates and suggest ways to best influence policy issues that impact children's health and children's hospitals in a weekly conference call.