Programs

Regulatory Updates

Total of 180 Records Returned

State: Maryland

Maryland Department of Health Issues Six-Month Pause on New Enrollments of Select Provider Types to Address Potential Fraud, Waste, and Abuse

Date Effective : 07/1/2024

Program: Behavioral Health

Effective July 1, 2024, the Maryland Department of Health is imposing a six-month pause on new enrollments into the Maryland Medicaid Program of the following behavioral health program types, which are licensed under Maryland Code of Maryland Regulations 10.63 and 10.09:

  1. Psychiatric Rehabilitation Programs
  2. Psychiatric Rehabilitation Programs, Health Home
  3. Level 2.5 Partial Hospital Programs, and
  4. Level 2.1 Intensive Outpatient Treatment Programs

Read More
State: Texas

MLN Fact Sheet Updated – Period of Enhanced Oversight for New Hospices

Date Posted : 07/3/2024

Program: Hospice

CMS issued an updated MLN Fact Sheet recently to include that a hospice that is reactivated after being deactivated will be considered a new hospice and thus subject to the period of enhanced oversight for new hospices.  This MLN is applicable to hospices in Arizona, California, Nevada, and Texas.

Read More
State: All

Calendar Year 2025 Home Health PPS Proposed Rule Released

Date Posted : 06/26/2024

Date Proposed : 06/26/2024

Program: Home Health

On June 26, 2024, CMS issued the CY 2025 Proposed Rule for HH PPS.  Read more about the rules proposed updates, including a CMS fact sheet and the entirety of the proposed rule.

Read More
State: All

Calendar Year 2025 ESRD PPS Proposed Rule Released

Date Posted : 06/27/2024

Date Proposed : 06/27/2024

Program: Renal Dialysis

On June 27, 2024, CMS issued the proposed rule for the ESRD Prospective Payment System.  Read more from the CMS newsroom for a fact sheet as well as the entirety of the proposed rule.

Read More
State: All

Hospice Certifying Physician Enrollment Requirement – CMS Q&A

Date Posted : 06/6/2024

Program: Hospice

On June 6, 2024, CMS published a Q&A document related to enrollment requirements for hospice certifying physicians which went into effect June 3, 2024.  CMS notes in the document that the policies in the Q&A document supersede the MLN issued on March 26, 2024, with regards to any possible inconsistencies.

Read More
State: All

CMS Updates the State Operations Manual Appendix M – New L Tags

Date Posted : 05/28/2024

Program: Hospice

On May 28, 2024, CMS issues memo QSO-24-12 Hospice & FQHC/RHC.  In this memo, CMS provided updates to the State Operations Manual Appendix M.  This update issues the L tags related to Marriage and Family Therapists and Mental Health Counselors.  This update was effective immediately.

Read More