Medicaid

Transform Your Strategic Planning with Real-Time Medicaid Monitoring

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Medicaid, a critical public health insurance program in the United States, provides essential medical coverage to millions of low-income individuals and families. Staying updated with changes in Medicaid regulations and policy is crucial for healthcare professionals, policymakers, and industry leaders. The Federal Register publishes all changes and proposals concerning Medicaid, making it an essential resource for those needing to track these updates.

Why Medicaid Updates Matter

Medicaid serves as a lifeline for vulnerable populations, including low-income families, senior citizens, and individuals with disabilities. Keeping abreast of changes in Medicaid policy helps ensure continued support for these groups and enables service providers to adapt their strategies and services accordingly.

Key Stakeholders Who Require Medicaid Monitoring

  1. Healthcare Administrators: Need to adjust operations to comply with new Medicaid rules and optimize service delivery to current beneficiaries.
  2. Policy Makers and Analysts: Must evaluate the impact of proposed regulations and policies to ensure they align with public health goals and budgetary constraints.
  3. Insurance Companies: Require updated information to align their offerings with federal requirements and understand potential impacts on coverage.
  4. Non-Profit Organizations: Advocate for beneficiary rights and are involved in lobbying for policy adjustments that benefit Medicaid recipients.

Recent Trends in Medicaid

  • Policy Shifts: With evolving healthcare needs and economic pressures, the Federal Register frequently updates Medicaid expansions, waivers, and reimbursement models.
  • Technological Integration: The adoption of technology in Medicaid programs to improve efficiency and coverage transparency.
  • Increased Funding Opportunities: New legislative measures often introduce funding opportunities that organizations can leverage to improve service delivery.

Impacts of Medicaid Regulations

Regulatory changes in Medicaid can significantly affect operational strategies across numerous sectors. Understanding these impacts is crucial for:

  • Strategic Planning: Preparing for Medicaid-funded projects or initiatives.
  • Compliance Assurance: Keeping service delivery models within federal and state restrictions to avoid penalties.
  • Funding Strategy Planning: Mapping out potential financial opportunities resulting from policy changes.

How AI-Powered Monitoring Can Help

Keeping track of every update manually can feel like a daunting task. This is where FedMonitor steps in. Our AI-powered monitoring service simplifies this process:

  • Ensures Relevance: Tailors updates to specific use cases or industry needs.
  • Efficiency: Provides quick insights into document relevance, such as rules and notices.
  • Seamless Integration: Supports popular systems like Slack, Microsoft Teams, or Salesforce; delivering updates right where your team works.

Whether it is adapting to new compliance requirements or seizing fresh opportunities, timely updates make all the difference. Visit our FAQ or Contact pages for more information on how to harness the power of AI in monitoring the Federal Register.

Topic Details

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Latest Documents

Title Type Published
Health and Human Services Department
Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability
This proposed rule would revise standards relating to past-due premium payments; exclude Deferred Action for Childhood Arrivals recipients from the definition of "lawfully present"; the evidentiary standard HHS uses to assess an agent's, broker's, or...
 Proposed Rule Mar 19, 2025
Health and Human Services Department > CMS
Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, Including the Hospital Inpatient Quality Reporting Program; Health and Safety Standards for Obstetrical Services in Hospitals and Critical Access Hospitals; Prior Authorization; Requests for Information; Medicaid and CHIP Continuous Eligibility; Medicaid Clinic Services Four Walls Exceptions; Individuals Currently or Formerly in Custody of Penal Authorities; Revision to Medicare Special Enrollment Period for Formerly Incarcerated Individuals; and All-Inclusive Rate Add-On Payment for High-Cost Drugs Provided by Indian Health Service and Tribal Facilities; Correcting Amendment
This document corrects technical and typographical errors in the final rule with comment period that appeared in the November 27, 2024 Federal Register titled "Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Sur...
 Rule Jan 13, 2025
Health and Human Services Department
HIPAA Security Rule To Strengthen the Cybersecurity of Electronic Protected Health Information
The Department of Health and Human Services (HHS or "Department") is issuing this notice of proposed rulemaking (NPRM) to solicit comment on its proposal to modify the Security Standards for the Protection of Electronic Protected Health Information (...
 Proposed Rule Jan 06, 2025
Health and Human Services Department
Health Data, Technology, and Interoperability: Trusted Exchange Framework and Common Agreement (TEFCA)
This final rule has finalized certain proposals from a proposed rule published in August 2024 and in doing so advances interoperability and supports the access, exchange, and use of electronic health information. Specifically, this final rule amends...
 Rule Dec 16, 2024
Health and Human Services Department
Administrative Simplification: Modifications of Health Insurance Portability and Accountability Act of 1996 (HIPAA) National Council for Prescription Drug Programs (NCPDP) Retail Pharmacy Standards; and Modification of the Medicaid Pharmacy Subrogation Standard
This final rule adopts updated versions of the retail pharmacy standards for electronic transactions adopted under the Administrative Simplification subtitle of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). These updated ve...
 Rule Dec 13, 2024
Health and Human Services Department > CMS
Medicare and Medicaid Programs; Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly
This proposed rule would revise the Medicare Advantage (Part C), Medicare Prescription Drug Benefit (Part D), Medicaid, Medicare cost plan, and Programs of All-Inclusive Care for the Elderly (PACE) regulations to implement changes related to Star Rat...
 Proposed Rule Dec 10, 2024
Health and Human Services Department > CMS
Medicare and Medicaid Programs; CY 2025 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; Medicare Prescription Drug Inflation Rebate Program; and Medicare Overpayments
This final rule addresses: changes to the physician fee schedule (PFS); other changes to Medicare Part B payment policies to ensure that payment systems are updated to reflect changes in medical practice, relative value of services, and changes in th...
 Rule Dec 09, 2024
Health and Human Services Department
Health Care Programs: Fraud and Abuse; Revisions to the Office of Inspector General's Exclusion Authorities
This proposed rule proposes to amend the regulations relating to exclusion authorities under the authority of the Office of Inspector General (OIG) of the Department of Health and Human Services (HHS or the Department). The proposed rule would codify...
 Proposed Rule Dec 02, 2024
Health and Human Services Department > CMS
Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, Including the Hospital Inpatient Quality Reporting Program; Health and Safety Standards for Obstetrical Services in Hospitals and Critical Access Hospitals; Prior Authorization; Requests for Information; Medicaid and CHIP Continuous Eligibility; Medicaid Clinic Services Four Walls Exceptions; Individuals Currently or Formerly in Custody of Penal Authorities; Revision to Medicare Special Enrollment Period for Formerly Incarcerated Individuals; and All-Inclusive Rate Add-On Payment for High-Cost Drugs Provided by Indian Health Service and Tribal Facilities
This final rule with comment period revises the Medicare Hospital Outpatient Prospective Payment System (OPPS) and the Medicare Ambulatory Surgical Center (ASC) payment system for calendar year 2025 based on our continuing experience with these syste...
 Rule Nov 27, 2024
Health and Human Services Department > CMS
Medicare Program; Calendar Year (CY) 2025 Home Health Prospective Payment System (HH PPS) Rate Update; HH Quality Reporting Program Requirements; HH Value-Based Purchasing Expanded Model Requirements; Home Intravenous Immune Globulin (IVIG) Items and Services Rate Update; and Other Medicare Policies
This final rule will set forth routine updates to the Medicare home health payment rates; the payment rate for the disposable negative pressure wound therapy (dNPWT) devices; and the intravenous immune globulin (IVIG) items and services payment rate...
 Rule Nov 07, 2024
Health and Human Services Department > CMS, Treasury Department
Patient Protection and Affordable Care Act, HHS Notice of Benefit and Payment Parameters for 2025; Updating Section 1332 Waiver Public Notice Procedures; Medicaid; Consumer Operated and Oriented Plan (CO-OP) Program; and Basic Health Program; Correcting Amendment
This document corrects technical and typographical errors in the final rule that appeared in the April 15, 2024 issue of the Federal Register entitled, "Patient Protection and Affordable Care Act, HHS Notice of Benefit and Payment Parameters for 2025...
 Rule Oct 28, 2024
Health and Human Services Department > CMS
Medicare and Medicaid Programs; Patient Protection and Affordable Care Act; Advancing Interoperability and Improving Prior Authorization Processes for Medicare Advantage Organizations, Medicaid Managed Care Plans, State Medicaid Agencies, Children's Health Insurance Program (CHIP) Agencies and CHIP Managed Care Entities, Issuers of Qualified Health Plans on the Federally- Facilitated Exchanges, Merit-Based Incentive Payment System (MIPS) Eligible Clinicians, and Eligible Hospitals and Critical Access Hospitals in the Medicare Promoting Interoperability Program; Correcting Amendment
This document corrects technical errors in the final rule that appeared in the February 8, 2024 Federal Register titled "Medicare and Medicaid Programs; Patient Protection and Affordable Care Act; Advancing Interoperability and Improving Prior Author...
 Rule Oct 25, 2024
Health and Human Services Department > CMS
Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2026; and Basic Health Program
This proposed rule includes payment parameters and provisions related to the HHS-operated risk adjustment and risk adjustment data validation (HHS-RADV) programs, as well as 2026 benefit year user fee rates for issuers that participate in the HHS-ope...
 Proposed Rule Oct 10, 2024
Health and Human Services Department > CMS
Medicare Program; Changes to the Medicare Advantage and the Medicare Prescription Drug Benefit Program for Contract Year 2024-Remaining Provisions and Contract Year 2025 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly (PACE); Correcting Amendment
This document corrects technical and typographical errors in the final rule that appeared in the April 23, 2024 Federal Register titled "Medicare Program; Changes to the Medicare Advantage and the Medicare Prescription Drug Benefit Program for Contra...
 Rule Sep 30, 2024
Health and Human Services Department > CMS
Medicaid Program; Misclassification of Drugs, Program Administration and Program Integrity Updates Under the Medicaid Drug Rebate Program
This final rule implements policies in the Medicaid Drug Rebate Program (MDRP) related to the new legislative requirements in the Medicaid Services Investment and Accountability Act of 2019 (MSIAA), which address drug misclassification, as well as dr...
 Rule Sep 26, 2024
Health and Human Services Department > CMS
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 Rule Aug 28, 2024
Health and Human Services Department > CMS
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This document corrects technical and typographical errors in the final rule that appeared in the April 23, 2024 Federal Register titled "Medicare Program; Changes to the Medicare Advantage and the Medicare Prescription Drug Benefit Program for Contra...
 Rule Aug 06, 2024
Health and Human Services Department
Health Data, Technology, and Interoperability: Patient Engagement, Information Sharing, and Public Health Interoperability
This proposed rule seeks to advance interoperability, improve transparency, and support the access, exchange, and use of electronic health information through proposals for: standards adoption; adoption of certification criteria to advance public hea...
 Proposed Rule Aug 05, 2024
Health and Human Services Department > CMS
Medicare and Medicaid Programs; CY 2025 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; Medicare Prescription Drug Inflation Rebate Program; and Medicare Overpayments
This major proposed rule addresses: changes to the physician fee schedule (PFS); other changes to Medicare Part B payment policies to ensure that payment systems are updated to reflect changes in medical practice, relative value of services, and chan...
 Proposed Rule Jul 31, 2024
Health and Human Services Department > CMS
Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, Including the Hospital Inpatient Quality Reporting Program; Health and Safety Standards for Obstetrical Services in Hospitals and Critical Access Hospitals; Prior Authorization; Requests for Information; Medicaid and CHIP Continuous Eligibility; Medicaid Clinic Services Four Walls Exceptions; Individuals Currently or Formerly in Custody of Penal Authorities; Revision to Medicare Special Enrollment Period for Formerly Incarcerated Individuals; and All-Inclusive Rate Add-On Payment for High-Cost Drugs Provided by Indian Health Service and Tribal Facilities
This proposed rule would revise the Medicare hospital Outpatient Prospective Payment System (OPPS) and the Medicare Ambulatory Surgical Center (ASC) payment system for calendar year 2025 based on our continuing experience with these systems. In this...
 Proposed Rule Jul 22, 2024

Related Topics

R

Reporting & Recordkeeping Requirements

G

Grant Programs

A

Administrative Practice & Procedure

H

Health Facilities

M

Medicare

H

Health Professions

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        Backtrace
        • app/Http/Controllers/TopicController.php:72
        • vendor/laravel/framework/src/Illuminate/Cache/Repository.php:429
        • vendor/laravel/framework/src/Illuminate/Cache/CacheManager.php:456
        • app/Http/Controllers/TopicController.php:64
        • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
      • TopicController.php#77main7.37msselect * from "related_entities" where "related_entities"."entity_type" = 'App\Models\Topic' and "related_entities"."entity_id" = 678 and "related_entities"."entity_id" is not null and "related_entity_type" = 'App\Models\SuggestedSearch' order by "common_documents_count" desc, "score" desc
        Bindings
        • 0: App\Models\Topic
        • 1: 678
        • 2: App\Models\SuggestedSearch
        Backtrace
        • app/Http/Controllers/TopicController.php:77
        • vendor/laravel/framework/src/Illuminate/Cache/Repository.php:429
        • vendor/laravel/framework/src/Illuminate/Cache/CacheManager.php:456
        • app/Http/Controllers/TopicController.php:64
        • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
      • TopicController.php#77main6.23msselect "id", "name", "slug" from "suggested_searches" where "suggested_searches"."id" in (67, 85, 73, 81, 87, 93, 89, 70, 7, 4, 86, 75, 79, 44, 76, 52, 84, 5, 3, 72) and "suggested_searches"."deleted_at" is null
        Backtrace
        • app/Http/Controllers/TopicController.php:77
        • vendor/laravel/framework/src/Illuminate/Cache/Repository.php:429
        • vendor/laravel/framework/src/Illuminate/Cache/CacheManager.php:456
        • app/Http/Controllers/TopicController.php:64
        • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
      • TopicController.php#98main7.24msselect * from "topics" where "deleted_at" is null and "id" < 678 and "topics"."deleted_at" is null order by "id" desc limit 1
        Bindings
        • 0: 678
        Backtrace
        • app/Http/Controllers/TopicController.php:98
        • vendor/laravel/framework/src/Illuminate/Cache/Repository.php:429
        • vendor/laravel/framework/src/Illuminate/Cache/CacheManager.php:456
        • app/Http/Controllers/TopicController.php:93
        • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
      • TopicController.php#103main5.7msselect * from "topics" where "deleted_at" is null and "id" > 678 and "topics"."deleted_at" is null order by "id" asc limit 1
        Bindings
        • 0: 678
        Backtrace
        • app/Http/Controllers/TopicController.php:103
        • vendor/laravel/framework/src/Illuminate/Cache/Repository.php:429
        • vendor/laravel/framework/src/Illuminate/Cache/CacheManager.php:456
        • app/Http/Controllers/TopicController.php:93
        • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
      App\Models\RelatedEntity
      68RelatedEntity.php#?
      App\Models\Agency
      56Agency.php#?
      App\Models\Topic
      31Topic.php#?
      App\Models\Document
      20Document.php#?
      App\Models\SuggestedSearch
      20SuggestedSearch.php#?
          ClearShow all
          Date ↕MethodURLData
          #12025-04-19 20:19:43GET/topics/medicaid5212195