Tag: CHIP

HHS Announces Distribution from PRF to Medicaid Providers

Today, the U.S. Department of Health and Human Services (HHS), through the Health Resources and Services Administration (HRSA), announced the distribution of additional relief funds from the Provider Relief Fund to eligible Medicaid and Children’s ...

Agenda Updated for June 2020 PTAC Virtual Meeting

The Physician-Focused Payment Model Technical Advisory Committee (PTAC) has updated the agenda for the scheduled June 2020 virtual public meeting. In addition to discussing, deliberating and voting on two proposed payment models, the committee is now...

Registration Open for June 2020 PTAC Virtual Meeting

The Physician-Focused Payment Model Technical Advisory Committee (PTAC) has opened registration for the next public meeting scheduled for June 22, 2020 from 10:00 AM to 2:45 PM (ET). This public meeting will be held virtually. During this meeting the...

HHS Declines to Implement Rural Telehealth Payment Model Recommended by PTAC

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) established the Physician-Focused Payment Model Technical Advisory Committee (PTAC) to review and assess physician-focused payment models (PFPMs) based on stakeholder proposals submitte...

COVID-19 Activities and Actions Update

As part of the ongoing White House Coronavirus Task Force efforts, the Centers for Medicare and Medicaid Services (CMS) and other agencies have issued several resource documents, refocused activities related to state survey agencies and accrediting o...

MACPAC Urges HHS to Provide Relief to Medicaid Providers

On April 30, the Medicare and CHIP Payment and Access Commission (MACPAC) sent a letter to the Secretary of Health and Human Services (HHS) urging the Administrator to speed relief to Medicaid providers across the nation. This is the second letter th...

COVID-19 Activities and Actions Update

As part of the ongoing White House Coronavirus Task Force efforts, the Centers for Medicare and Medicaid Services (CMS) and other agencies have issued several resource documents, refocused activities related to state survey agencies and accrediting o...

CMS Approves Sweeping Changes to Expand Care During the National Emergency

On March 30, the Centers for Medicare and Medicaid Services (CMS) announced several new temporary waivers and an interim final rule to expand beneficiary access to services during the coronavirus disease 2019 (COVID-19) outbreak. Section 1135 of the ...

MACPAC Publishes Agenda and Moves April Public Meeting Online

The Medicaid and CHIP Payment and Access Commission (MACPAC) posted the agenda for their April 2 public meeting which will be hosted online. Registration for the online meeting can be accessed here. MACPAC staff is scheduled to present several prese...

CMS Approves 11 Additional Medicaid Section 1135 Waivers

This announcement from the Centers for Medicare and Medicaid Services (CMS) brings the total number of approved Section 1135 waivers for states to 13. On March 13, 2020, President Trump declared the COVID-19 situation a national emergency which enabl...

CMS Approves First State Request for 1135 Medicaid Waiver in Florida

On March 13, 2020, President Trump declared the COVID-19 situation a national emergency which enables the Centers for Medicare and Medicaid Services (CMS) to waive certain requirements in Medicare, Medicaid, and CHIP under Section 1135 authority. On ...

COVID-19 Activities and Actions

As part of ongoing White House Coronavirus Task Force efforts, the Centers for Medicare and Medicaid Services (CMS) and other agencies have issued several resource documents, refocused activities related to state survey agencies and accrediting organ...

MACPAC Publishes March 2020 Report to Congress

The Medicare and CHIP Payment and Access Commission (MACPAC) released its March 2020 Report to Congress on Friday, March 13, 2020. MACPAC provides expert analyses of the Medicaid program related to payment, eligibility, coverage, access to care, and ...

PTAC Publishes Reports Evaluating Proposals Considered as of December 2019

The Physician-Focused Payment Model Technical Advisory Commission (PTAC) published two new reports evaluating the models that PTAC reviewed and submitted to the Secretary of Health and Human Services for consideration. PTAC is currently scheduled to ...

CMS COVID-19 Activities and Actions

As part of ongoing White House Coronavirus Task Force efforts, the Centers for Medicare and Medicaid Services (CMS) has issued a number of resource documents, refocused activities related to state survey agencies and accrediting organizations; and ta...

MACPAC Commissioners Support VBP State Comparison Report

The Medicaid and CHIP Payment and Access Commission (MACPAC) held a public meeting on February 27-28, 2020. MACPAC staff presented results from MACPAC contracted research on five state strategies to promote the use of value-based payments (VBP) in Me...

PTAC Update: Revised Proposal Open for Comment and Secretary’s Responses to Recommendations

Revised “Medical Neighborhood” Payment Model Open for Comment Through March 20 The Physician Model Technical Advisory Committee (PTAC) is soliciting comments through March 20, 2020, on a revised payment model: “The ‘Medical Neighborho...

PTAC Update: March 16 Agenda Update

The Physician-Focused Payment Model Technical Advisory Committee (PTAC) has updated the agenda for the scheduled March 16 public meeting. In addition to reviewing three proposed physician payment models, the Committee will also discuss previous propo...

MACPAC Releases Agenda for February 2020 Public Meeting

The Medicaid and CHIP Payment and Access Commission (MACPAC) posted the agenda for their next public meeting scheduled for February 27, 2020. MACPAC staff is scheduled to present results from MACPAC contracted research on state strategies to promote...

PTAC Update: March 16 Meeting Registration Open and Additional Preliminary Reports Posted

Public Meeting The Physician-Focused Payment Model Technical Advisory Committee (PTAC) posted the agenda and opened registration for the March 16 public meeting. During this meeting, the Committee will consider and vote on three previously su...

PTAC Update: New Oncology Medical Home Model Open for Comment

The Physician-Focused Payment Model Technical Advisory Committee (PTAC) is soliciting comments through February 18, 2020, on a new proposed payment model: The Patient-Centered Oncology Payment (PCOP) Model. This model is a multi-payer, community-base...

Opportunities to Participate in a Technical Expert Panel

The Centers for Medicare and Medicaid Services (CMS) has announced opportunities to participate in Technical Expert Panels (TEP). Clinicians, patients, and experts in healthcare disparities and performance measurement are among those the agency is en...

PTAC Submits Report on Telemedicine Proposal to Secretary: Recommends Further Development and Implementation

The Physician-Focused Payment Model Technical Advisory Committee (PTAC) submitted a new report to the Secretary of Health and Human Services (HHS) recommending the further development and implementation of the “ACCESS Telemedicine: An Alternative H...

PTAC Update: Public Meeting and Report on Eye Care Proposal Posted

Public Meeting The Physician-Focused Payment Model Technical Advisory Committee (PTAC) recently opened registration for the Monday, December 9, 2019, public meeting. Registration for the event is open here. Preliminary Review Team Report<...

GAO Appoints Charles DeShazer, MD to PTAC

On October 15, 2019, the Government Accountability Office (GAO) announced the appointment of Charles DeShazer, MD to the Physician-Focused Payment Model Technical Advisory Committee (PTAC). Dr. DeShazer is Senior Vice President and Chief Medical Offi...

CMS Updates Medicaid and CHIP Scorecard

On July 18, 2019, the Centers for Medicare and Medicaid (CMS) updated the data within the Medicaid and the Children’s Health Insurance Program (CHIP) Scorecard. The Scorecard, released for the first time last year, is a component of the Trump Admin...

2020 Medicaid and CHIP Core Set Open for Comments Through August 5

The Centers for Medicare and Medicaid (CMS) updates the Child and Adult Core Sets of quality measures annually. The Core Sets are important sources of information for CMS to assess the quality of services beneficiaries receive and improve Medicaid an...

South Carolina 1115 Waiver Application Summary

On May 8, 2019, South Carolina submitted a new 1115 waiver application to the Centers for Medicare and Medicaid Services (CMS). The waiver includes work requirements, expands coverage for children, pregnant women and parents, and expands coverage...

Reminder: Applications for the InCK NOFO are due June 10, 2019

The Centers for Medicare and Medicaid Innovation has released updated FAQs to assist applicants in preparing submissions for the Integrated Care for Kids (InCK) Notice of Funding Opportunity (NOFO). To view and download the new content, visit the “...

Registration Open for June 17 PTAC Public Meeting and Public Comments Accepted Until June 12 on Asthma Proposal

Registration Open for Public Meeting on June 17 The Physician-Focused Payment Model Technical Advisory Committee (PTAC) recently opened registration for a public meeting on June 17, 2019. Registration and agenda information are available here...

MACPAC Chair and Vice Chair Appointed

On May 20, 2019, Gene L. Dodaro, head of the US Government Accountability Office, appointed two new members to the Medicaid and CHIP Payment and Access Commission (MACPAC), as well as the Commission’s Chair and Vice Chair. The newly appointed membe...

Innovation Center Hosts Webinar on InCK Model on May 15

The Center for Medicare and Medicaid Innovation (the Innovation Center) will host a webinar on the Integrated Care for Kids (InCK) Model on Wednesday, May 15 from 2 to 3 pm ET. Innovation Center representatives will respond to inquiries about InCK...

Innovation Center Holds Second Webinar on InCK Funding Opportunity

The Center for Medicare and Medicaid Innovation is holding its second webinar on the Integrated Care for Kids (InCK) Model Notice of Funding Opportunity (NOFO) on April 18, 2019, at 2:30 pm ET. This webinar will include an overview of the model, its ...

Innovation Center Releases Information on APM Component of InCK Model

The Center for Medicare and Medicaid Innovation has released slides and a webinar recording on the Alternative Payment Model (APM) component of the Integrated Care for Kids (InCK) Model. The webinar features an APM overview, guidelines, requirements ...

InCK Model: Notice of Funding Opportunity and Webinar on February 19

The Centers for Medicare and Medicaid Services Center for Medicare and Medicaid Innovation (Innovation Center) announced a funding opportunity for the Integrated Care for Kids (InCK) model. The model is a child-centered local service delivery and sta...

CMS Announces Integrated Care for Kids Model to Address the Opioid Crisis

On August 23, 2018, the Centers for Medicare & Medicaid Services (CMS) announced a new model that is intended to address the opioid crisis for children.  The Integrated Care for Kids (InCK) Model aims to reduce expenditures and improve quality f...

Innovation Center Requests Comments on Direct Provider Contracting

On April 23, 2018, the Innovation Center released a Request for Information (RFI) on direct provider contracting (DPC) between payers and primary care or multi-specialty groups to inform potential testing of a DPC model within the Med...

Senate Releases Bipartisan Legislation Reauthorizing CHIP Through 2022

This week, the Senate Finance Committee Chairman Orrin Hatch and Ranking Member Ron Wyden released bipartisan legislation that would reauthorize the Children’s Health Insurance Program (CHIP) for a period of five years (FY 2018-2022).  The ag...