Public Health & Community Impact PACE and Senior Fitness: How Integrated Care Improves Health, Mobility, and Independence National Senior Health & Fitness Day, the nation’s largest annual older adult wellness event, highlights the importance of active aging and preventive care. This observance underscores a critical truth: senior fitness is foundational to healthy aging, independence, and…
Medicaid Policy & strategy Illinois: Implementing PACE in One of the Nation’s Most Complex Medicaid Environments As one of the nation’s most intricate Medicaid landscapes, Illinois demonstrates how careful planning, strategic policy development, and targeted collaboration can bring the benefits of PACE to urban, suburban, and rural communities alike. Key Takeaways As states seek ways…
Client Alert Payment Rate Transparency Standards CMS has finalized new Medicaid and CHIP transparency requirements impacting fee-for-service (FFS) payment rates, managed care payment analyses, and state reporting obligations. Key Takeaways The requirements established under CMS-2442-F and CMS-2439-F are designed to increase transparency into Medicaid payment methodologies and support monitoring of access to care. What State…
Medicare Reimagining PACE Access: How Kentucky Is Making Statewide Coverage Possible Exploring Kentucky’s innovative strategy to expand comprehensive care for older adults across urban and rural communities statewide Key Takeaways The Commonwealth of Kentucky has set a benchmark in transforming the Program of All-Inclusive Care for the Elderly (PACE) into a statewide model, ensuring access…
Client Alert Implementation of the Ensuring Access to Medicaid Services (CMS-2442-F) Final Rule: Part 5 Understanding Medicaid Fee-for-Service Payment Rate Transparency and SPA Requirements for Rate Reductions and Restructuring Key Takeaways The Ensuring Access to Medicaid Services Final Rule (CMS-2442-F) establishes new requirements for states submitting Medicaid State Plan Amendments (SPAs) that reduce or restructure…
Implementation of the Ensuring Access to Medicaid Services (CMS-2442-F) Final Rule: Part 4 Payment Rate Transparency 42 CFR § 447.203(b)(6): Interested Parties Advisory Group On May 10, 2024, the Centers for Medicare & Medicaid Services (CMS) published a final rule titled: Medicaid and Children’s Health Insurance Program (CHIP) Ensuring Access to Medicaid Services (CMS-2442-F). As…
Implementation of the Ensuring Access to Medicaid Services (CMS-2442-F) Final Rule: Part 3 Payment Rate Transparency 42 CFR § 447.203(b)(2) to (4): Payment Rate Disclosure On May 10, 2024, the Centers for Medicare & Medicaid Services (CMS) published a final rule titled: Medicaid and Children’s Health Insurance Program (CHIP) Ensuring Access to Medicaid Services (CMS-2442-F)….
Client Alert Implementation of the Ensuring Access to Medicaid Services (CMS-2442-F) Final Rule: Part 2 Payment Rate Transparency 42 CFR § 447.203(b)(2) and (3): Comparative Payment Rate Analysis Publication On May 10, 2024, the Centers for Medicare & Medicaid Services (CMS) published a final rule titled: Medicaid and Children’s Health Insurance Program (CHIP) Ensuring Access…
Client Alert Implementation of the Ensuring Access to Medicaid Services (CMS-2442-F) Final Rule: Part 1 Payment Rate Transparency 42 CFR § 447.203(b)(1): Payment Rate Transparency Publication of Medicaid FFS Rates Key Takeaways Beginning July 1, 2026, state Medicaid agencies must publicly publish and maintain their Medicaid fee-for-service (FFS) payment rates in accordance with the requirements…
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