Since hospital supplemental Medicaid funding is often tied to utilization, many providers recognized that they were running the risk of…
Preserving Supplemental Funding During a Public Health Emergency
Expertise: Value-Based Care
CMS Medicaid Access RFI: March 1, 2022 Stakeholder Call
On February 17, CMS issued a Request for Information (RFI) to seek feedback on ways to improve access and inform their…
Aligning with State Medicaid Priorities is a Winning Strategy for MCOs
State Medicaid agencies often find themselves balancing immediate priorities and long-term goals. It can be a tough juggling act. MCOs…
Centers for Medicare and Medicaid Services (CMS) Goals for 2022: Summary of the January 18 Stakeholder Meeting
CMS held a stakeholder meeting on January 18, 2022, to outline the agency’s priorities for the future. Members of the…
How Quality Driven Medicaid Financing Programs Improve Population Health
The focus on healthcare quality has become a glaring spotlight during the pandemic, as the significant difference in cases and…
FY 2022 State Budgets Summary Analysis
Forty-six states begin their fiscal year (FY) 2022 on July 1, 2021. The remaining states begin their fiscal years at…
TennCare Modified Block Grant Overview
The Modified Block Grant amendment to Tennessee’s Section 1115 waiver was approved on January 8, 2021, with the purpose of…
Summary of CMS Managed Care Final Rule (CMS-2408-F)
On November 13, the Centers for Medicare and Medicaid Services (CMS) published the Medicaid Program; Medicaid and Children’s Health Insurance…
CMS Withdraws Medicaid Fiscal Accountability Rule
On September 14, 2020, CMS Administrator Seema Verma announced that CMS will withdraw its proposed Medical Fiscal Accountability Rule (MFAR),…
Sellers Dorsey – Assistance with COVID-19 Challenges
Sellers Dorsey acknowledges that our clients, including large safety net hospitals, states, insurers, and providers, are on the front lines…
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…
CMS’ 2018 Medicaid Managed Care Updates: State-Directed Payments, Pass-Throughs, and Rate Ranges
On November 14, 2018, CMS proposed a new rule that seeks to improve the rules promulgated in 2016. The 2016…