Webinars | May 9, 2024

CMS Final Rules Part 1: Access, Enrollee Engagement, and Provider Payment Transparency

On Thursday, May 9, State Health and Value Strategies hosted the first in a three-part webinar series on CMS’ highly anticipated final rules: (1) Medicaid and Children’s Health Insurance Program Managed Care Access, Finance, and Quality (the “Managed Care Rule”), which focuses on managed care delivery systems; and (2) Ensuring Access to Medicaid Services (the “Access Rule”), which focuses on fee-for-service delivery systems and program improvements for home and community-based services (HCBS) across delivery systems.

During Part 1 of the webinar series, experts from Manatt Health provided an overview of the provisions in both rules regarding access monitoring, enrollee engagement, provider payment transparency, and HCBS. Part 2 focused exclusively on key provisions in the Managed Care Rule related to provider payment, financing, quality, and in lieu of services. Building on Parts 1 and 2, Part 3 provided a detailed overview of provisions in the Access Rule that aim to enhance access to HCBS, standardize quality measures and reporting requirements, and help address long-standing shortages in the direct care workforce.



Expert Perspectives

November 22, 2024

Information Sharing Considerations for Implementing the Consolidated Appropriations Act’s Requirements for Justice-Involved Children and Youth

This expert perspective reviews the information sharing considerations for states in implementing the Consolidated Appropriations Act’s (CAA) requirements to provide targeted case management and screening and diagnostic services for children and youth who are incarcerated and enrolled in Medicaid or CHIP. The expert perspective highlights key areas of CAA implementation that require information sharing, which states will need to consider as they work towards coming into full compliance.

November 15, 2024

CMS Releases Guidance on Optional Long-Term Use of Unwinding-Related Section 1902(e)(14) Waivers

On November 14, 2024, CMS released its second installment in its series of Medicaid and CHIP guidance intended to support state efforts to verify eligibility and conduct renewals in compliance with federal Medicaid and CHIP requirements. A new expert perspective summarizes the latest CMCS Informational Bulletin and accompanying slide deck which address the continued use of unwinding-related section 1902(e)(14) waivers beyond the previously established expiration date of June 30, 2025.