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CMS Rules

CMS Finalizes Rule Overhauling Medicaid Enrollment, Eligibility Processes

Medicaid will now have a consistent state-to-state renewal process, according to the streamlining Medicaid eligibility rule CMS finalized Wednesday (March 27), which includes several reforms aimed at removing red tape and barriers to enrollment, including limiting Medicaid and CHIP renewals to once a year, giving applicants 30 days to respond to information requests and requiring states to prepopulate renewal forms in certain cases.

CMS Proposes 2.8% IRF Pay Bump, Calls For Star Ratings Input

Cyberattack News

HHS Releases Payer-To-Provider Resource List In Cyberattack’s Wake

HHS has released a compilation of resources providers can use to contact plans with payment questions as the ongoing fallout from the Change Healthcare cyberattack continues to wreak havoc on the health care sector, and as lawmakers continue to put pressure on CMS to ensure payers are supporting providers in the cleanup period.

HHS: 2023 Computer Breach Was ‘Targeted Fraud’ Not A Cyber Attack

Cassidy: HHS Didn’t Report Alleged Cyberattack Linked To $7.5M In Stolen Grants

Latest News

The Biden administration is finalizing a rule that restricts the duration of short-term health plans to no more than four months, including renewals, in a long-awaited policy shift that overturns a Trump-era rule allowing those plans to run for up to three years.

The White House plans to bolster artificial intelligence safeguards to mitigate privacy and discrimination risks in health care by mandating human oversight of AI-generated diagnostic decisions and establishing chief AI officers and AI governance boards across agencies, among other security measures.

Medicaid will now have a consistent state-to-state renewal process, according to the streamlining Medicaid eligibility rule CMS finalized Wednesday (March 27), which includes several reforms aimed at removing red tape and barriers to enrollment, including limiting Medicaid and CHIP renewals to once a year, giving applicants 30 days to respond to information requests and requiring states to prepopulate renewal forms in certain cases.