Reimbursement

​​​​​​The AHCA/NCAL ​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​Reimbursement Policy & Market Strategy team focuses on important issues federal policy issues impacting Medicare and Medicaid, as well as market strategies such as Population Health Management. We also provide updates on important payment policy-related regulations, such as the Medicaid Fiscal Accountability Regulation, Medicaid block grants, and the Patient-Driven Payment Model.

Medicaid Fiscal Accountability Proposed Regulation (MFAR)

The Centers for Medicare and Medicaid Services (CMS) issued a proposed Medicaid Fiscal Accountability Regulation on November 11th, 2019 that impacts provider assessments and upper payment limit (UPL) programs. While CMS states its aim is to "eliminate state financing gimmicks," it is important to note that CMS is not proposing to eliminate provider tax, inter-governmental transfers (IGT), and supplemental payments. Nevertheless, this rule would have significant negative impacts on funding.

Resources

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​Resources & Documents