A federal judge has vacated several key components of a controversial 2025 program integrity rule for the Affordable Care Act ...
Initiative includes more frequent revalidations, enhanced monitoring, and greater collaboration with the Office of Inspector ...
Permanent rulemaking would replace IPAY 2026–2028 guidance, enabling predictable annual negotiations of up to 20 drugs and defined manufacturer agreement and renegotiation requirements. Formularies ...
Codification replaces time-limited guidance authority after the first three cycles, establishing enduring parameters for 2029+ negotiations of up to 20 selected drugs spanning Part B and Part D.
Medicaid program integrity efforts have been ramping up quickly, and last week we saw clear evidence of this trend when the ...
On February 25, 2026, the Centers for Medicare & Medicaid Services (“CMS”) announced several program integrity actions impacting Medicaid funding and Medicare supplier enrollment, along with a request ...
* * * Misclassification of Drugs, Program Administration and Program Integrity Updates Under the Medicaid Drug Rebate Program Notice for Proposed Rulemaking (CMS-2434-P) The Centers for Medicare & ...
North Dakota Health and Human Services is increasing oversight of some Medicaid providers this summer as part of a two-year ...
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