CMS

On March 18, 2021 The Centers for Medicare & Medicaid Services (CMS) released a Medicaid Informational Bulletin with the updated 2021 Federal Poverty Level (FPL) Standards. The bulletin also includes the 2021 Dual Eligible Standards chart that displays the new standards for the Medicare Savings Program categories.

The Centers for Medicare & Medicaid Services, in collaboration with the Centers for Disease Control and Prevention (CDC), issued updated guidance for nursing homes to safely expand visitation options during the COVID-19 pandemic public health emergency. This latest guidance comes as more than 3 million doses of vaccines have been administered within nursing homes. Read the full guidance for more information.

CMS is committed to continuing to take critical steps to ensure America’s healthcare facilities are prepared to respond to the Coronavirus Disease 2019 (COVID-19) Public Health Emergency (PHE). CMS has issued a new guidance for visitation in ICF/IIDs and PRTFs during the COVID-19 PHE. The guidance provides ways an ICF/IID and PRTF can more safely facilitate in-person visitation and address the psychosocial needs of clients/residents.

On January 19th Centers for Medicare & Medicaid Services (CMS) released the Medicaid LTSS Annual Expenditures Report for Federal Fiscal Years (FFY) 2017 and 2018. This report discusses the LTSS rebalancing trends and growth in expenditures for home and community based services (HCBS) as compared to institutional spending during these select years.

In 2017, the Center for Medicare & Medicaid Innovation launched the Accountable Health Communities (AHC) Model to test whether connecting Medicare and Medicaid beneficiaries to community resources can improve health outcomes and reduce costs by addressing health-related social needs (HRSNs)—adverse social conditions that affect health and health care. This report describes the Medicare and Medicaid beneficiaries who were eligible for the AHC Model in the Assistance Track.

CMS released an update to the COVID-19 Vaccines Toolkit that was released on 10/28/20 and first updated on 11/23/20. This update includes more information on vaccine administration reimbursement and outlines a streamlined review process available to states looking to quickly adjust vaccine administration reimbursement rates in state plans. The toolkit also provides more clarification on managed care network adequacy and the phased distribution and administration approved COVID-19 vaccines.

CMS recently provided an update to the 2021 SSI and Spousal Impoverishment Standards. Spousal impoverishment standards are adjusted in January to reflect changes in the Supplemental Security Income (SSI) federal benefit rate (FBR) and the Consumer Price Index (CPI). These new standards will become effective on January 1, 2021.

CMS recently released a Report to Congress highlighting approaches five state programs implemented to address housing instability and improve treatment outcomes for people with Substance Use Disorder. Initiatives mentioned in the report focus on: providing housing-related supports that facilitate access to community resources; sharing data across systems to identify and target those in need for resources; and partnerships building across state and local health and housing systems and providers.

CMS released a new supplement to its State Medicaid & CHIP Telehealth Toolkit that provides new examples and insights into lessons learned from states that have implemented telehealth changes. The toolkit includes approaches and tools states can use to communicate with providers on utilizing telehealth. The toolkit includes updates and consolidates the FAQs and resources for states to consider as they begin planning beyond the temporary flexibilities provided in response to the pandemic.

The updated supplemental information is intended to help states strategically think through how they explain and clarify to telehealth providers and other stakeholders which policies are temporary or permanent. It also helps states identify: • Services that can be accessed through telehealth • Which providers may deliver those services • Ways providers may use in order to deliver services through telehealth, • Circumstances under which telehealth can be reimbursed once the PHE expires