In its second information bulletin on state plan amendments and 1915 waiver process improvements, CMS trumpeted its Medicaid waiver efforts, which the agency said has cut the review process for SPAs ...

The Biden administration proposed new regulations aimed at overhauling the application and renewal processes for Medicaid and other government programs, including ensuring a beneficiary's returned ...

Medicare patients initially admitted to hospitals as inpatients but later reclassified as outpatients under observation would finally have a process to appeal those decisions, thanks to a long-awaited ...

A: The Medicare Appeals process will remain the same for physicians under Part B and Part A non-inpatient claims. The only difference under Part A is for the inpatient hospital claims under the ...

We were unable to process your request. Please try again later. If you continue to have this issue please contact [email protected]. The rule requires decisions on standard requests within ...

In a letter sent to all states (PDF), the Centers for Medicare & Medicaid Services (CMS) said it is requiring states to determine whether an eligibility systems issue is to blame for disenrolling ...

The Centers for Medicare and Medicaid Services (CMS) sent a letter on Wednesday to all 50 states, the District of Columbia, Puerto Rico and the Virgin Islands, informing them that they must examine if ...

Here are five things to know. 1. Under the Social Security Act, section 1115 waivers allow states to test healthcare delivery models for Medicaid and the Children’s Health Insurance Program. For ...

The Centers for Medicare and Medicaid Services finalized the CMS Interoperability and Prior Authorization Rule on Wednesday. CMS said the rule will improve the prior authorization process and save ...