Your Government at Work

CMS Withdraws Request for Medicare-Medicaid ACO Letters of Intent

The Centers for Medicare & Medicaid Services (“CMS”) has withdrawn its December 2016 Request for Letters of Intent from states that were interested in participating in the new Medicare-Medicaid Accountable Care Organization (“ACO”) Model.  CMS will not be moving forward with the model’s implementation.  This ACO Model was created so that Medicare Shared Savings Program ACOs could take responsibility for both Medicare and Medicaid quality and cost measures for those individuals who were enrolled in both programs.

CMS is withdrawing its Request for Letters of Intent because it did not receive any letters of intent for the first 12-month performance period, which was set to start on January 1, 2018, and received only one letter of intent for the January 2019 start date.  More information can be found here.

CMS Grants Flexibility and Waivers in Response to Hurricane Nate

In response to Hurricane Nate, Dr. Don Wright, the now-former Acting Secretary of the Department of Health and Human Services (“HHS”), declared public health emergencies in Alabama, Florida, Louisiana, and Mississippi.  With this declaration in effect, CMS has temporarily modified or waived various Medicare, Medicaid, and Children’s Health Insurance Program requirements for these states.  These modifications and waivers are meant to ensure that the health care needs of individuals enrolled in these programs continue to be met and that health care providers are properly reimbursed and potentially exempted from sanctions for certain good faith instances of noncompliance.  More state-specific information can be found here.