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ACOs
Accountable Care Organizations
Community Living Assistance Services and Supports (CLASS) Act
House Subcommittee holds hearing on CLASS Act, Repeal Bill to be introduced
Elder Justice Act
CMS issues revised memo on reporting crimes: includes additional definitions and Q&A’s
EJA reporting poster
EJA tools and templates
Fraud/Abuse
AHCA Comments on proposed anti-fraud provider screening and enrollment rule
CMS proposed rule to prevent fraud upfront and strengthen Medicare, Medicaid and CHIP
HHS releases new fraud prevention fact sheets
New Alert from Reed Smith on Proposed Healthcare Screening Requirements
New provider screening/enforcement rule
Self-disclosure protocol released (scroll to bottom)
General
11th Circuit holds ACA inidividual mandate unconstitutional
Administration to appeal Florida ruling against Healthcare Law
Completed CMS Action Items
DOJ Asks US Supreme Court to Determine PPACA Constitutionality
Health Care Reform repeal debate to resume next week
HHS Launches New consumer Focused Health Care Website
House health care reform repeal debate postponed
House vote on repeal of health care reform expected soon
New HHS tools launched to better understand PPACA
Senate fails to pass health Care reform repeal
Senate to consider health care reform repeal amendment
US Supreme Court will consider hearing health reform case
Home- and Community-Based Services (HCBS)
CMS issues guidance on targeting HCBS to certain Medicaid recipients
CMS Releases Letter On Money Follows The Person (MFP) Rebalancing Demonstration Program
CMS Releases Proposed Rule to Implement Community First Choice Option
HHS Announces $60 Million In Affordable Care Act Grants For Health And LTC Options
HHS Announces Grants To Help Navigate Long Term Care Options
HHS Awards Money Follows the Person (MFP) Demonstration Grants
Insurance
Agencies Amend Interim Grandfathered Plan Rules
Court Rules PPACA Minimum Essential Coverage Provision Unconstitutional (scroll to bottom)
Early Retiree Reinsurance Program Applications Now Accepted
Employers given one-year reprieve on reporting health plan costs
Federal Agencies Issue “Grandfather” Rule
Health Insurance Reform and Consumer Protection Rule Released
HHS announces grants to help people understand long term care options
HHS announces new “insurance finder” web tool
HHS Announces New Pre-Existing Condition Insurance Plan
HHS approves organizations for early retiree health subsidies
HHS Issues Fast-track Regulations Launching Early Retiree Reinsurance Program
HHS Previews Insurance Reform Web Site Requirements
HHS requires more transparency for consumers in “mini-med” plans
HHS waivers allow “Mini Med” health plans to continue
IRS Rules Employee Coverage Of Adult Children Is Tax-favored
State Guidance for Establishing a Health Insurance Exchange
States receive monies to build competitive health insurance marketplaces
Medicaid
CMS guidance on Maintenance of Effort (MOE) under ACA
CMS guidance on maintenance of effort in Affordable Care Act
CMS Guidance on the Maintenance of Effort Provisions in the Patient Protection and Affordable Care Act
CMS Releases Guidance Related to Medicaid Overpayments
File Code CMS-2325-P, Medicaid Program; Review and Approval Process for Section 1115 Demonstrations, 75 Federal Register
Proposed models to integrate Medicare and Medicaid for duals
Medicare
CMS Details New Timely Filing Requirements For Medicare Claims
CMS releases short cycle dispensing proposed rule
Information on the timely claims filing requirement
Proposed models to integrate Medicare and Medicaid for duals
Medicare/Medicaid
Interim Final Rule On NPI Released
The CMS Health Care Innovation Challenge and You
Tax and Revenue Provisions
AHCA Applauds Repeal of Burdensome Tax Policy
Tax and Revenue Provisions
Chairman Baucus introduces bill to repeal 1099 tax provision
Effort to repeal health care law's 1099 provision fails in Senate
House takes up 1099 Repeal
President expresses support for repeal of 1099 reporting mandate and medical malpractice reforms
Senate committee examines 1099 reporting burden on small businesses
Senate passes 1099 repeal Amendment
Senate to vote On 1099 Repeal during post-Thanksgiving food safety debate
Senators hold news conference to introduce 1099 repeal bill
Transparency
AHCA Comments on Interim Rule with Comment: Notice of Facility Closure
AHCA Provides Comments To CMS On Health Care Reform Issues
AHCA submits comment to CMS on Notice of Proposed Rulemaking on Civil Money Penalties
CMS awards over $13 million to six states for criminal background checks
CMS guidance for state consumer oriented websites
CMS guidance to states for creation of independent informal dispute resolution (IIDR) process
CMS guidance to states for use of CMP funds
CMS Issue Interim Rule with Comment on Requirements for Facility Closure
CMS Issues New Guidance for Independent Informal Dispute Resolution Process for Nursing Homes
CMS publishes Notice of Proposed Rulemaking on Civil Money Penalties
CMS releasing second solicitation for the national background check program
CMS Soliciting States for Inclusion in New National LTC Background Check Program
Final Regulation on Escrowing of Civil Money Penalties and Independent Informal Dispute Resolution
Summary and Discussion of Final Rule Escrowing of Civil Money Penalties and Independent Informal Dispute Resolution
Workforce
GAO announces appointments to new national health care workforce commission
HHS Announces $250 Million Investment to Strengthen Health Care Workforce
HHS awards $320 million to expand primary care workforce
PPACA Gives Comptroller General Responsibility To Appoint National Workforce Commission
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