Tag Archives: congress

Medicaid and Non-Emergency Medical Transportation

On June 19, the House of Representatives passed the funding bill for the Department of Health and Human Services for fiscal year 2020.  CMS is funded in this annual legislation and this funding bill is often a vehicle for Congress to express its support or displeasure for some of CMS’s activities during the year.

This year’s bill is no different.  Section 239 of the legislation (H.R.… More

House Committee Advances Bill to Narrow IMD Exclusion for Opioids

We have written in the past about the strange quirk in Medicaid law that prohibits Medicaid from paying for medical services for individuals who are patients in an “institution for mental disease” – a facility that has more than 16 beds and that is “primarily engaged” in providing diagnosis, treatment and care to individuals with mental illness.  This prohibition – commonly known as the “IMD Exclusion” – is a vestige of the original Medicaid program,… More