CMS

CMS, along with the Centers for Disease Control and Prevention, is developing an emergency regulation requiring staff in over 15,000 Medicare and Medicaid-participating nursing homes to get vaccinated. This new requirement is central to protecting the health and safety of nursing home residents and all staff members. Millions of vaccinations have been administered to residents and staff over the last few months and are shown to help prevent the spread of COVID-19, including the Delta variant.

CMS released a SHO letter with updated guidance to assist states in planning for resuming normal state Medicaid, CHIP, and BHP operations for the eventual end of the public health emergency. The SHO provides updated guidance regarding the extended timeframe for states to complete pending work in eligibility and enrollment to up to 12 months after the PHE ends and redetermination of eligibility requirements states must complete after the PHE for all beneficiaries before taking adverse actions.

CMS Office of Minority Health is recognizing National Immunization Awareness month by providing immunization and vaccine resources on their website. The site houses shareable information about available, low cost vaccines, Medicare coverage for vaccines, COVID-19 resources, and more.

On August 3, 2021 CMS published a proposed rule that would rescind a 2019 policy change prohibiting reassignment of certain Medicaid payments. The rule would re-instate a policy that was first established in 2014 allowing payments to third parties when Medicaid program is the primary source of revenue for the provider. CMS is accepting comment on the proposed rule until September 28, 2021.

CMS Office of Minority Health has added a new resource to their Improving Access to Care for People with Disabilities webpage. The resource, Modernizing Health Care to Improve Physical Accessibility: A Primer for Providers, is intended to help staff in health care settings improve quality, satisfaction, and physical accessibility for people with disabilities.

On Tuesday, July 6, 2021, CMS released the Quality Report to Congress identifying efforts undertaken to improve the quality of health care for children and adults enrolled in Medicaid and the Children’s Health Insurance Program (CHIP). The report provides information on activities undertaken between 2017 and 2019, including changes in performance in the quality measures included in the Medicaid and CHIP Child and Adult Core Sets.

CMS has released a Center Informational Bulletin providing tools to states and CMS to improve the oversight of managed care and increase beneficiaries’ access to care. In the bulletin, CMS shares resources to improve compliance with managed care standards and requirements and guidance setting the content and format of the Annual Managed Care Program Report. The bulletin also outlines multiple tools and resources for improving managed care oversight that are currently in development at CMS.

The Coverage to Care (C2C) patient resource released earlier this year, Telehealth: What to Know for Your Family, is now available in Arabic, Chinese, Haitian Creole, Korean, Russian, and Vietnamese, as well as English and Spanish. This resource helps patients learn about the types of care they can receive through telehealth, how to prepare for an appointment, and what to expect during a telehealth visit.

On Tuesday, May 4, the Centers for Medicare and Medicaid Services released a Center Informational Bulletin (CIB) discussing the recent extension of the HCBS spousal impoverishment policies. The Consolidated Appropriations Act, 2021 extended the requirement that Medicaid programs apply spousal impoverishment protections until September 30, 2023. CMS also described plans to release future guidance regarding options for income and asset disregards.

CMS, in collaboration with New Editions Consulting Inc. is offering free HCBS technical assistance to states who are: planning on expanding Medicaid home and community-based services, and/or changing approaches and strategies to be more responsive to CMS guidance, stakeholder input, and state priorities, and/or modifying current HCBS programs based on state and stakeholder experiences in response to the COVID-19 Public Health Emergency.