Insurance News
Regulatory updates in plain English
Stay current with the latest from CMS, state departments of insurance, NAIC, the Federal Register, and Congress — rewritten so you can actually understand what it means for your practice.
CMS Issues Guidance to Implement New Limits on Federal Medicaid and CHIP Funding for Certain Noncitizens
The Centers for Medicare & Medicaid Services (CMS) has announced that starting October 1, 2026, states will have new limits on claiming federal funds for Medicaid and CHIP for certain noncitizens. This change affects individuals who are not U.S. citizens or nationals, as well as specific noncitizen ...
Medicaid Technology Companies Pledge $600M in Savings to Support Community Engagement and Related State Medicaid System Improvements
Ten health technology companies have pledged over $600 million in savings to help states implement new community engagement requirements for Medicaid. This initiative aims to modernize Medicaid systems and improve the experience for beneficiaries by providing discounted technology products and servi...
Fact Sheet: Pledges from Medicaid Technology Companies to Support Community Engagement Implementation and Related Medicaid System Improvements
Several health technology companies have made commitments to the Centers for Medicare & Medicaid Services (CMS) to assist states in meeting new Medicaid community engagement requirements. This change affects Medicaid programs as they prepare to implement these new rules under the Working Families Ta...
Fact Sheet: Pledges from Medicaid Technology Companies to Support Community Engagement Implementation and Related Medicaid System Improvements
Several health technology companies have made commitments to help states implement new Medicaid community engagement requirements. This change affects Medicaid and CHIP programs as they adapt to the Working Families Tax Cut legislation. The companies listed have pledged to support states with their ...
Medicaid and Children's Health Insurance Program (CHIP) Generic Information Collection Activities: Proposed Collection; Comment Request
The Office of Management and Budget (OMB) is seeking public feedback on a new process for collecting information related to Medicaid and CHIP. This process is designed to make it easier for agencies to get approval for collecting information that is generally simple and not controversial. They want ...
Medicaid and Children's Health Insurance Program (CHIP) Generic Information Collection Activities: Proposed Collection; Comment Request
The government is seeking public feedback on its process for collecting information related to Medicaid and the Children's Health Insurance Program (CHIP). This process is designed to make it easier for agencies to get approval for collecting information that is generally simple and not controversia...
Medicaid and Children's Health Insurance Program (CHIP) Generic Information Collection Activities: Proposed Collection; Comment Request
The government is seeking public feedback on its plan to collect information related to Medicaid and the Children's Health Insurance Program (CHIP). This collection process is designed to be simple and not overly burdensome for those involved. Insurance agents and stakeholders can provide comments o...
Medicare and Medicaid Programs; Patient Protection and Affordable Care Act; Interoperability Standards and Prior Authorization for Drugs for Medicare Advantage Organizations, Medicaid Managed Care Plans, State Medicaid Agencies, Children's Health Insurance Program (CHIP) Agencies and CHIP Managed Care Entities, and Issuers of Qualified Health Plans on the Federally-Facilitated Exchanges
New rules are being proposed to improve how health care data is shared electronically, which will affect Medicare Advantage organizations, Medicaid plans, and health insurance issuers on federal exchanges. These changes aim to make it easier for doctors and patients to get approvals for medications ...
Medicare and Medicaid Programs; CY 2026 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program; Correction
The recent announcement corrects some mistakes in the final rule regarding Medicare and Medicaid payment policies for 2026. This includes updates to how doctors are paid under Medicare and changes to Medicare Part B coverage. These corrections ensure that the information is accurate and clear for ev...