On November 13, 2018, CMS issued a
The Third Circuit recently issued an opinion in Nazareth Hospital et al. V. Sebelius, No. 13-2627, holding that Medicaid pilot projects, known as
On April 12, 2012, the Centers for Medicare & Medicaid Services (CMS or the “Agency”) published in the Federal Register a Final Rule with comment period entitled, “Changes to the Medicare Advantage Program and the Medicare Prescription Drug Benefit Programs for Contract Year 2013 and Other Changes.”
On October 20, 2011, the Centers for Medicare and Medicaid Services issued a prepublication copy of the final rule governing the Medicare Shared Savings Program for accountable care organizations.
President Obama signed the Trade Adjustment Assistance Extension Act of 2011 (“TAA Extension Act”) into law on October 21, 2011.
During an April 28, 2011, telephone conference sponsored by the Health Care Compliance Association, Vicki L. Robinson, Chief of the Industry Guidance Branch and Senior Advisor for Health Care Reform of the Office of the Inspector General, Department of Health and Human Services (OIG), informed providers that the OIG and the Centers for Medicare and Medicaid Services (CMS) envision that Accountable Care Organization (ACO) waivers will be applied consistently to all ACOs rather than on a case-by-case basis.
The Affordable Care Act authorizes the Secretary of HHS to waive certain fraud and abuse laws as necessary to carry out the provisions of the law regarding the Medicare Shared Savings Program.
On February 25, 2011, CMS issued a letter and accompanying Questions & Answers (Q&As) to state Medicaid directors clarifying certain aspects of the maintenance of effort (MOE) provisions in the Affordable Care Act.
The Q&As clarify that the MOE provisions do apply to Section 1115 waiverdemonstration projects, but do not require states to renew a section 1115 demonstration upon its specified expiration date.
Over the last few months, the Departments of Labor, Health and Human Services, and Treasury (collectively, the "Departments") have issued Frequently Asked Questions ("FAQs") to address issues that have been raised about the Patient Protection and Affordable Care Act ("PPACA").