Analyses or Summaries

Summary of a report, legislation, regulation or measure, and analysis of what it means to children's health and children's hospitals.

Resources

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
Medicaid Disproportionate Share Hospital Cuts Methodology
October 17, 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
October 17, 2019

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

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.

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.

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, β€œInadmissibility 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.

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.

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.

Analysis or Summary
New Hampshire Granite Advantage Health Care Program
July 5, 2019

New Hampshire's demonstration implements a premium assistance program for adults between the ages 19 to 65 with incomes up to 133 percent of the federal poverty level.

Analysis or Summary
New Hampshire Building Capacity for Transformation
July 5, 2019

New Hampshire proposes to establish six Designated State Health Programs to support the state's broader Medicaid Care Management program and expansion of coverage under the New Hampshire Health Protection Program.

Analysis or Summary
Maryland HealthChoice Demonstration
July 3, 2019

Maryland's HealthChoice demonstration provides health care services for most Medicaid beneficiaries, including children up to age 21, through a managed care delivery system and provides additional benefits for targeted individuals.

Analysis or Summary
New York Medicaid Redesign Team Waiver
July 3, 2019

New York's demonstration aims to lower Medicaid costs and improve patient care through better care coordination and management among different types of providers within defined geographic areas.

Analysis or Summary
Florida Managed Medical Assistance Program
July 3, 2019

Florida's demonstration moved beneficiaries from fee-for-service Medicaid into managed care plans.

Analysis or Summary
Minnesota Reform 2020 Waiver
July 3, 2019

Minnesota's demonstration contains elements of two previous Section 1115 waivers and was created to allow people access to the home and community-based services.

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
Michigan Pathway to Integration
July 3, 2019

The Healthy Michigan demonstration imposes a community engagement requirement for the Medicaid expansion population and institutes additional requirements for beneficiaries with income above 100 percent of the FPL.

Analysis or Summary
Wisconsin BadgerCare Reform
July 3, 2019

Wisconsin's demonstration provides health care coverage through BadgerCare Plus to all childless adults between ages 19 and 64 and who have incomes that do not exceed 100 percent of the federal poverty level.