Starting January 1, 2026, Ohio Medicaid will roll out new prior authorization requirements aligned with the federal CMS-0057-F rule. This shift will mandate faster decision times, electronic ...

It’s March, which means one thing for sports fans: the madness of the NCAA men’s and women’s basketball tournaments. However, to folks in the regulatory world, it also means something else too: the ...

Many state Medicaid programs suffer awful reputations: outrageously high per capita spending, mediocre care quality, coverage for medically dubious procedures, and widespread fraud, to name just a few ...

CMS is requiring all 50 states to audit Medicaid providers and submit detailed plans to the agency by May 23, with hospital leaders eager to understand both the scope and the limits of what’s being ...