Your Government at Work


CMS Finalizes CJR Policy for Extreme and Uncontrollable Circumstances

The Centers for Medicare & Medicaid Services (“CMS”) have issued a final rule regarding the agency’s “Extreme and Uncontrollable Circumstances Policy” for its Comprehensive Care for Joint Replacement Model.  This policy was designed to address events such as Hurricane Harvey, Hurricane Irma, Hurricane Nate, and the California wildfires of 2017.  The final rule gives affected entities flexibility in how to establish their episode spending.  The rule is available here.

CMS Utilizes Medicaid to Combat Opioid Crisis

CMS has issued an informational bulletin on the topic of neonatal abstinence syndrome.  In this bulletin, CMS explains Medicaid coverage options and limitations relevant to this subject.  CMS emphasizes that neonatal abstinence syndrome is a significant and rapidly growing public health concern that is directly related to the nation’s opioid crisis.  Between 2000 and 2012, the incidence of neonatal abstinence syndrome increased nearly five-fold.  To see the bulletin, click here.