News & Resources

News and Resources

Get the latest information on our company, industry, and recent news on policies, trends, and analysis.

CMS Issues New Section 1115 Tools, Guidance for States

PRINT FRIENDLY VERSION On March 15, 2019 the Centers for Medicare & Medicaid Services released new state tools and guidance that provide standard monitoring metrics and recommended research methods for Section 1115 demonstrations. The resources include an implementation plan template, monitoring report template and evaluation design guidance. Section 1115 demonstrations allow states to test new

Provisions in the CMS 2018 Update on IMDs and Treatment for SUDs

When CMS proposed revising its Medicaid managed care regulations in November 2018, the new guidelines outlined an overall desire to streamline the managed care regulatory framework and relieve regulatory burdens on states. One specific item worth noting, however, is the update’s provision regarding institutions for mental diseases (IMD). In its 2016 update to its regulations,

Sellers Dorsey adds Nancy Smith-Leslie, former Medicaid Director for the State of New Mexico

PHILADELPHIA, PA – Sellers Dorsey announced today that Nancy Smith-Leslie has joined the firm as a Senior Consultant. Ms. Smith-Leslie spent the last four years as the Medicaid Director for the State of New Mexico, during which she designed and implemented value-based purchasing initiatives, launched behavioral health homes, worked closely with the State’s actuary to

Seema Verma’s NAMD Remarks Foreshadow Less Administrative Activity for States and Providers  

On November 7th, CMS Administrator Seema Verma addressed the National Association of Medicaid Directors (NAMD) at the organization’s annual conference in Arlington, Virginia. Verma’s remarks were broad, and they addressed existing Section 1115 and Section 1915 waiver and State Plan Amendment (SPA) approval processes. Specifically, Administrator Verma outlined a plan for shorter approval timelines and

Sellers Dorsey Managing Director Gary Jessee to Speak at AHIP’s National Conference on Medicare, Medicaid & Duals

MEDIA ADVISORY: September 25, 2017 PHILADELPHIA, PA – Sellers Dorsey Managing Director Gary Jessee will participate as a speaker on two panel discussions at the National Conferences on Medicare, Medicaid & Duals, presented by America’s Health Insurance Plans (AHIP). AHIP is a national association representing the health insurance industry whose members provide coverage and health‐related

Sellers Dorsey Managing Director Gary Jessee to Provide Perspective on Long-Term Care Services and Supports at Inaugural LG Access Summit

August 14, 2017 PHILADELPHIA, PA – Sellers Dorsey announced today that Managing Director Gary Jessee will present at the LG Access Summit on August 15th in Dallas, TX. The LG Access Summit will bring together leaders from the Long-Term and Post-Acute Care (LTPAC) provider community from across the country to discuss technology, operational best practices,

CMS To Review Managed Care Regulations Affecting Pass-Through Payments

On March 14th, Department of Health and Human Services (HHS) Secretary Tom Price issued a joint letter to the country’s governors with Seema Verma, Administrator of the Centers for Medicare and Medicaid Services (CMS) (view the letter here). In the letter, they indicated their desire to focus on the core mission of Medicaid – “to