Analysis or Summary
Medicaid Access Rule Rescission – 2019
August 16, 2019
CMS released a proposed rule that removes critical regulatory provisions outlining current fee-for-service requirements.
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 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
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.
Analysis or Summary
New Mexico's Centennial Care 2.0 Program
July 2, 2019
New Mexico's waiver combines existing Section 1915(b), 1915(c) and 1115 waivers under a comprehensive demonstration project (Centennial Care).
Analysis or Summary
Feedback needed on Senate HELP committee health care cost package
May 31, 2019
The Senate Health, Education, Labor, and Pensions (HELP) Committee released a discussion draft on health care costs. CHA is requesting feedback from children’s hospitals to inform our comments and has drafted the attached list of questions relating to areas of focus.
Analysis or Summary
FY 2020 Medicare IPPS Proposed Rule Summary
May 23, 2019
On April 23, the Centers for Medicare & Medicaid Services (CMS) released its FY 2020 Medicare Hospital Inpatient Prospective Payment System (IPPS) proposed rule.
Analysis or Summary
ACE Kids Act (as included in H.R. 1839) - Summary
April 5, 2019
On April 2, the ACE Kids Act passed the Senate as part of a package of Medicaid bills, the Medicaid Services Investment and Accountability Act of 2019 (H.R. 1839).