Medicaid programs: regulatory and accreditation changes
This page collects dated changes on Medicaid and CHIP: CMS announcements and models, Federal Register documents, and state Medicaid agency notices from the states named in each entry. Each entry quotes or reports one sentence from the authority's page, links to it, and adds the dates the source states. IHS helps Medicaid managed care plans, long-term services programs and Medicaid-funded providers prepare for accreditation and certification, so these updates are part of the record IHS reads each day. The entries report what was published. They do not interpret it or say how it applies to a given program.
Last checked: . 3 entries.
CMS and States Launch $275 Million Initiative to Recruit and Retain Nurses in Nursing Homes
· Centers for Medicare & Medicaid Services
Centers for Medicare & Medicaid Services states: “Nursing students and licensed nurses interested in working in a nursing home may now qualify for up to $40,000 in student loan repayment and/or a $10,000 stipend in exchange for a three-year commitment to serve in a qualifying nursing home in a rural or higher labor-shortage area through a new $275 million nationwide initiative announced today by the Centers for Medicare & Medicaid Services (CMS). The Nurses for Nursing Homes initiative is expected to support more than 4,000 nurses nationwide.”
Related IHS services: CARF Person-Centered Long-Term Care Community Accreditation Consulting
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Leading Employers Back Expansion of Electronic Prior Authorization to Self-Funded Health Plans
· Centers for Medicare & Medicaid Services
Centers for Medicare & Medicaid Services states: “More patients and doctors could spend less time navigating faxes, phone calls, and paperwork as leading employers work to expand electronic prior authorization for their self-funded health plans. The Centers for Medicare & Medicaid Services (CMS) and U.S. Department of Labor (DOL) today announced that five leading employers have signed a statement of support to make the technical improvements and other capabilities being developed through the 2025 Prior Authorization Pledge available to employers that sponsor self-funded health plans.”
Related IHS services: NCQA Health Plan Accreditation Consulting · URAC Health Plan Accreditation Consulting · URAC Health Plan with LTSS Accreditation Consulting · URAC Health Plan Accreditation for Small Business
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CMS Proposes Reforms to Strengthen Transparency and Affordability in Medicare Advantage and Part D
· Centers for Medicare & Medicaid Services
Centers for Medicare & Medicaid Services states: “The Centers for Medicare & Medicaid Services (CMS) today issued a proposed rule that would improve the accuracy of provider directories for Medicare Advantage plans, establish transparency and compensation requirements for Pharmacy Benefit Managers (PBMs), and deliver enhanced cost-saving protections for low-income Medicare beneficiaries.”
Related IHS services: Medicare Advantage and Part D Compliance Program and FDR Oversight Consulting · URAC PBM Accreditation Consulting · URAC Medicare Advantage Organization Accreditation Consulting · New York PBM License Readiness Consulting
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All accreditors, agencies and topics: Standards changes. Entries quote or report what the authorities published; they are not legal advice and do not interpret the changes.