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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

Traditional Medicare, Medicare Advantage and Part D combined will generate about $51.1 billion in improper payments in 2023 -- the largest portion of the total $236 billion that the Government Accountability Office (GAO) tracked across the federal government -- while Medicaid is a close second and expected to spend about $50 billion in improper payments, GAO says in its statutorily mandated Improper Payments Report out Tuesday (March 26).

The Federal Trade Commission in a new report offers insights to fellow “law enforcement agencies” on building out their technology expertise to better understand how regulated businesses are using, or potentially misusing, artificial intelligence and advanced technologies, based on the experiences of the FTC’s Office of Technology.

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.