Healthcare DIVE April 23, 2024
In two final rules issued Monday, the CMS also moved to crack down on financing gimmicks used by states and hospitals to increase federal Medicaid funding — though not until 2028.
The Biden administration finalized two rules on Monday making notable changes to Medicaid that regulators say will improve transparency and access in the safety-net program, including wait time standards for appointments and curbing profits for home health agencies.
However, the rules hand hospitals a win by finalizing a higher ceiling for supplemental Medicaid payments and delaying oversight of concerning funding arrangements, despite calls for more oversight in the area.
States are forbidden from making supplemental payments for services covered in managed care contracts, when states contract with private insurers...
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