Updates & Analysis

In this update:  Administration Updates Biden Announces Expanded Health Care Coverage for DACA Recipients Biden Signs Resolution Ending Section 201 Covid-19 National Emergency Federal Agencies HHS Issues Proposed Rule to Further Implement 21st Century Cures Act HHS Issues Proposed Rule on Confidentiality in Reproductive Health Care CMS Issues FY 2024 Hospital IPPS and LTCH PPS Proposed…

In this update:  Federal Agencies CMS Finalizes 2024 Medicare Advantage and Part D Rule CMMI Issues More Details on MA VBID Model Extension CMS Proposes 2024 Skilled Nursing Facility PPS Rule CMS Proposes 2024 Inpatient Rehabilitation Facility PPS Rule CMS Proposes 2024 Inpatient Psychiatric Facility PPS Rule HRSA Publishes Policy Brief and Recommendations for PACE…

On April 5th, the New York State Office of Mental Health (OMH) released a Request for Proposals (RFP) for the procurement of pilot Home Based Crisis Intervention (HBCI) teams serving youth with co-occurring mental health and intellectual and/or developmental disorders (I/DD). HBCI teams will serve children/youth ages 5 to 21 years who are either at…

In March 2023, the New York State (NYS) Department of Health (DOH) posted an updated version of the Children’s Waiver Home and Community Based Services (HCBS) provider manual. The attached summary provides a broad overview of key changes in the updated HCBS manual, with a focus on areas of concern for HCBS providers, Health Home…

In this update:  Administration Updates Biden to Sign Measure Ending Section 201 Covid National Emergency Federal Agencies CMS Finalizes 2024 Medicare Advantage and Part D Rate Announcement, Phasing in New Risk Adjustment Model CMS Proposes FY 2024 Hospice Payment Update Narcan Nasal Spray Approved for Nonprescription Use Other Updates Medicare Board of Trustees Releases Annual…

On March 18th, the Substance Abuse and Mental Health Services Administration (SAMHSA) released the following two Notices of Funding Opportunity (NOFO) for Certified Community Behavioral Health Clinics (CCBHCs): Planning, Development, and Implementation Grants (to establish new CCBHCs); and  Improvement and Advancement Grants (to enhance and support existing CCBHCs) . CCBHCs provide comprehensive person- and family-centered…

In this update:  Congressional Updates CBO Tells Senate Budget Committee It Overestimated Health Care Spending Federal Agencies CMMI Extends VBID through 2030 and Announces New Equity and HRSN Requirements HRSA Announces Organ Procurement and Transplantation Network Modernization Initiative SAMHSA Awards CCBHC Planning Grants to 15 States HHS Distributes $560 Million in Home Energy Grants HHS…

On March 14th, the New York State (NYS) Office for People with Developmental Disabilities (OPWDD) released an Invitation for Bids (IFB) for one contractor to provide Telephone Triage Nursing Services in Orange, Rockland, Sullivan, and Westchester Counties. Telephone Triage Nursing is a service in which a Registered Nurse (RN) screens an individual’s symptoms during a…

In this update:  Legislative Update Senate HELP Committee Issues RFI on Pandemic and All-Hazards Preparedness Renewal Federal Agencies SAMHSA Releases Updated Certified Community Behavioral Health Clinic Criteria CMS Releases Initial Guidance for Medicare Drug Price Negotiation Program HHS Reopens Health Sector Climate Pledge CMS Announces Drop in Part B Coinsurance for 27 Drugs Veterans’ Health…

On March 14th, the New York State (NYS) Department of Health (DOH) released a special edition of the Medicaid Update that provides guidance on NYS Medicaid telehealth policy (including audio-only) following the expiration of the federal Covid-19 Public Health Emergency (PHE) on May 11th. The guidance includes: An expanded list of reimbursable telehealth modalities, including…

On March 14th, the New York State Assembly and Senate released one-house versions of the state’s budget legislation for State fiscal year (FY) 2023-24. Each chamber’s proposal is based on the Governor’s Executive Budget, but may include modified appropriations and may include and exclude accompanying Article VII legislative proposals. The three parties will now begin…

In this update:  Administration Updates Biden Administration Releases FY 2024 Budget Federal Agencies CMS Releases FAQ on MA Advance Notice as AHIP, Others Submit Comments ONC Issues 2022 Report to Congress CMS to Hold Pre-Rulemaking Season Kick-Off Webinar HHS Releases Cybersecurity Guide Other Updates MedPAC Holds March 2023 Meeting MACPAC Holds March 2023 Meeting New…