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Medicaid Coverage Opportunities for Justice-Involved Populations: CMS Guidance and States’ Approaches

Individuals leaving incarceration have disproportionately higher rates of physical and behavioral health diagnoses and are at higher risk for injury and death compared with people who have not been incarcerated. Race disparities in incarceration further exacerbate health inequities for people of color upon release. Justice-involved individuals often will be released into the community with no […]

Delivering Care at Home: Challenges and Approaches to Success Webinar Series

Join Manatt for a New Webinar Series Guiding You Through the Complexities of Care at Home—and Sharing Best Practices for Effective Delivery. Health care is moving home. According to the Centers for Medicare & Medicaid Services (CMS), home care expenditures alone are expected to reach $201 billion by 2028, a 70% increase since 2020. From […]

Impact of the End of the PHE on Opioid Use Disorder Treatment

The federal Public Health Emergency for COVID-19 (PHE) has dramatically transformed the landscape for opioid use disorder and other drug treatment in the United States. In the early months of the pandemic, the federal government used the PHE to give broad flexibility to states and providers to dispense with traditional restrictions on the use of […]

The Changing Landscape of Prior Authorization for Medicare

On December 6, 2022, the Centers for Medicare & Medicaid Services (CMS) proposed a rule—the Interoperability and Patient Access final rule—that introduces new requirements for health care payers aiming to enhance patient data sharing and streamline the prior authorization process. The rule would require certain payers to digitize their prior authorization process, shorten the timeline […]

Proposed Rules to Enhance Access and Quality for Medicaid HCBS and Strengthen the HCBS Workforce

On April 27, 2023, the Centers for Medicare & Medicaid Services (CMS) released proposed rules that, if finalized, would reshape Medicaid’s federal regulatory landscape in several ways, including with respect to home and community-based services (HCBS). The proposed rule most relevant for HCBS—titled Ensuring Access to Medicaid Services—includes measures to increase transparency, oversight and public engagement […]

No Surprises Act Update: The Latest Litigation, Enforcement and Implementation Challenges

The No Surprises Act (NSA), which went into effect January 1, 2022, was designed to protect patients from surprise medical bills when they are treated in out-of-network emergency departments or by out-of-network providers at in-network facilities. It represents a massive change in health patient financial practices—and controversy continues to surround its implementation, particularly around the […]

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