Lawsuit Alleges Kentucky Medicaid Work Requirement Breaks Federal Law

Julie CarterMedicare Watch0 Comments


On January 11, 2018, the Centers for Medicare & Medicaid Services (CMS) issued guidance announcing a new policy that, for the first time, will allow states to make participation in a work or “community engagement” program a condition for Medicaid enrollment. The next day, CMS approved a Medicaid waiver in Kentucky that will allow the state to test this new policy. Read More...

April is Medicaid Awareness Month: New Resources on Medicaid and Older Adults

Lindsey CopelandMedicare Watch0 Comments

This month, stakeholders and advocates across the country are observing Medicaid Awareness Month. Organized by the Protect Our Care coalition, the month-long campaign is intended to enhance awareness of the many ways the Medicaid program strengthens American communities. To that end, the coalition is launching outreach and education efforts on a different topic each week. These activities will culminate in a national Medicaid Day of Action on April 30. Read More...

Medicare Rights Center Helps Inform Changes to D-SNPs

Casey SchwarzMedicare Watch0 Comments

The recently-passed Bipartisan Budget Act of 2018 (BBA of 2018) makes a number of changes to Medicare, including permanently authorizing Dual Special Needs plans (D-SNPs), which are Medicare Advantage (MA) plans for people who are dually eligible for Medicare and Medicaid. To help inform implementation of these changes, earlier this month the Centers for Medicare & Medicaid Services (CMS) issued a request for stakeholder input on (1) The design of an integrated Medicare-Medicaid appeals approach for D-SNPs; and (2) The establishment of minimum state contract requirements for D-SNPs. Read More...

Medicare Rights Continues to Review New Medicare Rules and Guidance

Julie CarterMedicare Watch0 Comments


Over the past few months, the Medicare Rights Center has been actively engaged in considering and commenting on proposals from the Centers for Medicare & Medicaid Services (CMS) that could have significant effects on people who are enrolled in Medicare Advantage (MA) and Part D plans. Last week, CMS released both the Contract Year 2019 Final Rules for Medicare Advantage and Part D (Final Rules) and the 2019 Call Letter. CMS also released fact sheets for the Final Rule and the Call Letter. As we continue to analyze the Final Rules and Call Letter, as well as the impact of the recent two-year budget deal, here is a preview of the issue areas we intend to spotlight, which focus on regulatory trends, anticipated implementations, and practical changes that will impact people with Medicare and those who help them navigate coverage decisions. Read More...

Kaiser Family Foundation Explains the Center for Medicare and Medicaid Innovation

Lindsey CopelandMedicare Watch0 Comments

TeroVesalainen /

The Kaiser Family Foundation recently published a list of frequently asked questions about the Center for Medicare and Medicaid Innovation (CMMI) within the Centers for Medicare & Medicaid Services (CMS). Also known as the “Innovation Center” CMMI was created by the Affordable Care Act to test new ways to improve care and lower costs within Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP). Read More...