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CMS announces actions addressing fraud

The Centers for Medicare & Medicaid Services Feb. 25 released a request for information on potential regulatory changes in a possible future proposed rule called Comprehensive Regulations to Uncover Suspicious Healthcare, or CRUSH.

AHA submits comments on CMS proposed rule on prohibiting ‘sex-rejecting procedures’ for children

The AHA Feb. 17 submitted a comment letter responding to the Centers for Medicare & Medicaid Services’ proposed rule that would prohibit hospitals participating in the Medicare and Medicaid programs from performing “sex-rejecting procedures” on individuals under 18 years of age.

CMS issues updated guidance on state-directed payment provision

The Centers for Medicare & Medicaid Services Feb. 2 revised its approach to determining grandfathering eligibility by redefining the 180‑day window around July 4, 2025, to be calculated using business days.

Making our Voice Heard and Leading the Way to Advance Health in America

It is important for us to continue to exercise the principles of democracy that Washington and the Founding Fathers fought so hard for and speak up, asking hard questions of candidates in this election year and evaluating their thinking on the issues that affect our field.

CMS finalizes changes to Medicaid provider tax waiver rules

The Centers for Medicare & Medicaid Services Jan. 29 issued a final rule regarding states non-uniform or non-broad-based provider tax, as authorized under special waivers.

AHA comments on proposed ‘public charge’ rule

The AHA Dec. 19 submitted comments on the Department of Homeland Security’s proposed rule regarding the Public Charge Ground of Inadmissibility, urging the department to “exclude Medicaid and the Children’s Health Insurance Program (CHIP) from its public charge determinations.”

CMS issues state guidance on Medicaid community engagement requirements 

The Centers for Medicare & Medicaid Services released guidance Dec. 8 for states implementing Medicaid community engagement requirements outlined by the budget reconciliation bill.

CMS bulletin summarizes Medicaid, CHIP provisions from budget reconciliation bill 

The Centers for Medicare & Medicaid Services released a bulletin Nov. 18 summarizing provisions from the budget reconciliation bill related to Medicaid and the Children’s Health Insurance Program.

Survey finds Medicaid enrollment fell in FY 2025, expects flattening in 2026, while spending increases  

Medicaid enrollment decreased 7.6% in fiscal year 2025 and is expected to be mostly flat in FY 2026, according to KFF’s annual Medicaid Budget Survey released Nov. 13.