RECENT ANALYSIS
CMCS Releases Informational Bulletin Regarding Medicaid and CHIP H.R. 1 Provisions; Tables Outline Funding Available to States for H.R. 1 Implementation and Other Helpful Information; Agency Outlines Plans for Additional Guidance
Yesterday, the Center for Medicaid and CHIP Services (CMCS) released a CMCS Informational Bulletin (CIB) summarizing the Medicaid and Children’s Health Insurance Program (CHIP) related provisions of the One Big Beautiful Bill Act (OBBBA; H.R. 1). The CIB is part of a series of guidance documents that CMCS expects to issue to support H.R. 1 implementation including additional detailed guidance… (Marceno, November 20, 2025) #Budget, #Costs, #Hospitals, #Public Health
Agency Finalizes 2.6 Percent Increase for CY 2026 OPPS Payments
The Centers for Medicare and Medicaid Services (CMS) released the Calendar Year (CY) 2026 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System final rule (press release, fact sheet, hospital price transparency policy changes fact sheet). What it is. CMS’ wide-ranging final rule affects payments to approximately 4,000 hospitals paid under the OPPS, including hospital outpatient… (Marceno, November 21, 2025) #340B, #Ambulatory Surgical Centers, #Hospitals
Agency Issues Notice on Sharing Certain Medicaid Information With DHS
The Centers for Medicare and Medicaid Services (CMS) issued a notice announcing that it will share specified information with the Department of Homeland Security (DHS) and U.S. Immigration and Customs Enforcement (ICE) when requested, consistent with longstanding federal information-sharing statutes. CMS explains that it collects certain immigration-related information as part of Medicaid program administration, for example, to determine eligibility for… (Colocho, November 21, 2025) #Health Equity, #Privacy, #Public Health, #Transparency