On March 30, CMS approved the extension of the New Jersey FamilyCare Comprehensive Demonstration. The renewal preserves and extends several…
New Jersey 1115 Waiver Extension Approval Overview
Market: State, County and Other Governmental Agencies
CMS In Lieu of Services and Settings Guidance
On January 4, the Centers for Medicare & Medicaid Services (CMS) released a State Medicaid Director letter, SMD# 23-001, to provide additional…
Innovations in Medicaid: Driving System Transformation
One of the key strengths of the Medicaid program is its built-in capacity for variation and innovation. Within broad parameters,…
December 2022 Omnibus Spending Bill – Key Medicaid Provisions Summary
Background: On December 23, the 117th Congress passed the $1.7 trillion ”Consolidated Appropriations Act of 2023” – or omnibus bill – which will…
1115 Waiver Approvals Addressing Health-Related Social Needs
On September 28, 2022, the Centers for Medicare and Medicaid Services (CMS) approved two monumental 1115 waiver extensions – MassHealth…
DIRECTED PAYMENT PROGRAMS IN VALUE-BASED PURCHASING: Aligning with CMS on Improving Healthcare Outcomes
Improving access and quality in healthcare is a key focus area of the Centers for Medicare and Medicaid Services (CMS)….
Summary of CMS’ Proposed Rule: Streamlining the Medicaid, CHIP, and Basic Health Program Application, Eligibility Determination, Enrollment, and Renewal Processes
On August 31, 2022, CMS announced a proposed rule for Streamlining Eligibility and Enrollment. CMS notes that the provisions set…
Empowering the Partnership Between States and Managed Care Organizations
In the most recently published MACStats: Medicaid and CHIP Data Book, the Medicaid and CHIP Payment and Access Commission (MACPAC) estimates that…
Sellers Dorsey State Budget FY2023
Over the past several months, state governors have been working on their budgets for FY2023. As of August 10, 2022,…
1115 Demonstration Approaches to Housing Services and Supports
Evidence has shown that social determinants of health such as homelessness, transportation, or food insecurity impact overall health outcomes. Access…
The Urgency of Mental Health in Medicaid and Beyond
Sellers Dorsey is proud to support Pyx Health in their efforts to operationalize innovative solutions to address loneliness and social…
Texas 1115 Waiver Demonstration Extension & State Directed Payment Programs
On April 22, 2022, CMS took steps to end a yearlong dispute with Texas over the State’s Medicaid 1115 waiver…