Category: Federal Guidance

Health Policy News – May 2020

The much-anticipated final Payment Notice and Letter to Issuers in the Federally-facilitated Marketplaces was released early this month, with states’ concerns about the impact of COVID-19 evident in many of the finalized policy changes. The first post this month details the Centers for Medicare and Medicaid Services’ (CMS) final changes and includes an updated fact ...

The Federal Administration Continues to Release Guidance and Waivers in Response to the COVID-19 Pandemic

Health Policy News continues tracking federal-level action aimed at addressing the broad impact of the COVID-19 pandemic with a focus on actions to support states and providers in their efforts to respond to the pandemic and its impact. As in our March and April articles, this post aggregates the latest updates from the federal level, ...

Guidance for States on How to Properly Document Federal Funding During COVID-19 Response and Recovery

On March 19, 2020, the Office of Management and Budget (OMB) released M-20-17, Administrative Relief for Recipients and Applicants of Federal Financial Assistance Directly Impacted by the Novel Coronavirus (COVID-19) due to Loss of Operations (henceforth “OMB memo”). Although many of the operational impacts and costs of COVID-19 are unknowable at this point, the memo ...

Payment Notice and Letter to Issuers in the Federally-facilitated Marketplaces Finalized for the 2021 Plan Year  

With filing deadlines quickly approaching, the Centers for Medicare and Medicaid Services (CMS) released final versions of the Notice of Benefit and Payment Parameters (NBPP) for 2021 and the 2021 Letter to Issuers in the Federally-facilitated Exchanges (Letter) on May 7, 2020. At the same time, CMS released accompanying guidance: Key Dates for Calendar Year ...

Updates on the Federal Response to COVID-19

As the COVID-19 pandemic continues to impact the country, Congress and the Centers for Medicare and Medicaid Services (CMS) continue to advance funding opportunities, temporary policy changes and waivers to support states, providers, and the public in their efforts to address the pandemic and its broad impact. This article aggregates the latest updates on the ...

Health Policy News – April 2020

Last month, Health Policy News brought you breaking news about the legislation and guidance aimed at providing greater flexibility to states and providers as they struggle to meet health and service demands during this global pandemic; requirements relative to COVID-19-related health coverage; and examples of action at the state level to address local need. As ...

Health Policy News – March 2020 Special Edition

  Introduction Health Policy News had planned content for the month of March, but given the unprecedented times we are all living through, we thought it best to dedicate this month’s entire edition to recent federal and state efforts to support consumers, providers, and health insurance carriers in combating COVID-19. Just in the past week, ...

Health Policy News – February 2020

Introduction On January 31, 2020, the Centers for Medicare and Medicaid Services (CMS) released the proposed Notice of Benefit and Payment Parameters (NBPP) and the draft Letter to Issuers in the Federally-facilitated Exchanges, as well as accompanying guidance and timelines. The March 2nd deadline for comment on the proposed policy changes included in the annual ...

Medicaid Updates: Regulations, Guidance and Litigation

The last several weeks saw a number of Medicaid policy-related developments. In our round-up below, we share key takeaways from each. Centers for Medicare and Medicaid Services Block Grant Guidance As we shared in our newsletter last month, CMS recently released a State Medicaid Director Letter with long-awaited guidance on Medicaid block grants. Earlier this ...

Comments on 2021 Proposed Payment Notice and Draft Letter to Issuers in the FFM Due March 2nd

On January 31, 2020, the Centers for Medicare and Medicaid Services (CMS) released the proposed Notice of Benefit and Payment Parameters (NBPP) and the draft Letter to Issuers in the Federally-facilitated Exchanges (hereafter “the Letter”)[1] as well as accompanying guidance and timelines.[2] CMS is accepting comments on these items through 5pm on March 2, 2020. ...