| Medicaid

Medicare-Medicaid Integration and Unified Appeals and Grievance Requirements for State Medicaid Agency Contracts with Medicare Advantage Dual Eligible Special Needs Plans (D-SNPs) for Contract Year 2021

Read more about Medicare-Medicaid Integration and Unified Appeals and Grievance Requirements for State Medicaid Agency Contracts with Medicare Advantage Dual Eligible Special Needs Plans (D-SNPs) for Contract Year 2021

Further Guidance to Medicaid Bipartisan Budget Act (BBA) of 2018 and changes to Medicaid Provisions Passed in April 2019 – Third Party Liability in Medicaid and CHIP

Read more about Further Guidance to Medicaid Bipartisan Budget Act (BBA) of 2018 and changes to Medicaid Provisions Passed in April 2019 – Third Party Liability in Medicaid and CHIP

CIB: 2020 Updates to the Adult and Child Core Health Care Quality Measurement Sets

Read more about CIB: 2020 Updates to the Adult and Child Core Health Care Quality Measurement Sets

New Reporting Measures for Substance Use Disorder (SUD)-focused Health Homes

Read more about New Reporting Measures for Substance Use Disorder (SUD)-focused Health Homes

Guidance for State Medicaid Agencies on Dually Eligible Beneficiaries Receiving Medicare Opioid Treatment Services Effective January 1, 2020

Read more about Guidance for State Medicaid Agencies on Dually Eligible Beneficiaries Receiving Medicare Opioid Treatment Services Effective January 1, 2020

2020 SSI and Spousal Impoverishment Standards

Read more about 2020 SSI and Spousal Impoverishment Standards

Best Practices for Avoiding 340B Duplicate Discounts in Medicaid

Read more about Best Practices for Avoiding 340B Duplicate Discounts in Medicaid

PA-19-0015

Read more about PA-19-0015

Establishes a supplemental payment to qualifying inpatient hospitals located in a county with greater than 40% Medicaid utilization

MO-19-0024

Read more about MO-19-0024

Adds language to allow chiropractic physicians to become MO HealthNet (MHD) providers.

OK-19-031-B

Read more about OK-19-031-B

Increases the nursing facility pool amounts, base rate components for nursing facilities serving adults and Aids patients. Additionally, the SPA revises the Pay-for-Performance (PFP) program, formerly known as the Focus on Excellence (FOE) program.