Webinars | Jun 16, 2016

Webinar Series – Provider Networks and the ACA

Manatt Health

With insurers increasingly relying on new network design strategies to compete for Marketplace consumers, and state and federal regulators coming into closer alignment with regard to standards for network adequacy, an understanding of the issues surrounding provider networks and the Affordable Care Act is critical.  This three-part webinar series, presented by Manatt Health, addressed a variety of topics related to the regulation of provider networks, and may be of interest to officials from departments of insurance, marketplaces, Medicaid agencies, health departments, staff from gubernatorial and legislative offices, and staff from other agencies involved in health reform.

Session 1 – Overview of the State Role in Regulating Network Adequacy

Session 2 – Surprise Bills and the Challenge of Out-of-Network Billing

Session 3 – Role of Transparency for Regulators and Consumers

 

 

Expert Perspectives

January 7, 2025

Release of New E&E Guidance Related to Renewal Forms and Medicaid/Separate CHIP Transitions

Following the November release of guidance to support states’ efforts to verify eligibility and conduct renewals in compliance with federal Medicaid and CHIP requirements, the Centers for Medicare & Medicaid Services issued on December 20 two additional Center for Medicaid and CHIP Services Informational Bulletins (CIBs). This expert perspective summarizes the requirements outlined in the CIBs.

New CMS Guidance on Compliance Requirements for Provision of Medicaid/CHIP Services to Incarcerated Youth

On December 19, the Centers for Medicare and Medicaid Services released State Health Official (SHO) letter 24-006, “Provision of Medicaid and CHIP Services to Incarcerated Youth – FAQs,” which provides several clarifications for states on compliance expectations for implementing section 5121 of the Consolidated Appropriations Act of 2023. This expert perspective describes key clarifications addressed in the SHO letter.