Proposed Regulation Would Improve Safety and Quality of Child Care

On May 16, 2013, the U.S. Department of Health and Human Services (HHS) invited comment on a proposed rule that will better ensure children’s health and safety in child care and promote school readiness. Under the proposed rule, states, territories, and tribes would be required to strengthen their standards to better promote the health, safety, and school readiness of children in federally funded child care. [More]

DHHS Secretary Sebelius Commits to Implement Federal Basic Health Plan Option in 2015

In a letter to U.S. Senator Maria Cantwell on March 22, US Department of Health and Human Services (DHHS) Secretary Kathleen Sebelius committed to launching a cost-saving Federal Basic Health Plan Option (FBHPO) in 2015. The FBHPO offers coverage to those ineligible for Medicaid with incomes between 138 and 200% of the federal poverty level (FPO). According to Sebelius’s letter, the FBHPO will be fully operational separate from state exchanges, including funding based on the 95% estimated tax credits. The Centers for Medicare & Medicaid Services (CMS) will issue proposed rules for public comment in 2013, and final rules in the first quarter of 2014. For states that choose not to implement the FBHPO, consumers with incomes between 138 and 400% of the FPL would be eligible for insurance coverage via the exchange. [More]

New York Penalized for National Youth in Transition Database Reporting Requirements

The Departmental Appeals Board (DAB) of the Department of Health and Human Services (HHS) upheld ACF’s imposition of a penalty of $289,649 for failure to submit semi-annual data standards required as part of Chafee Foster Care Independence Program (CFCIP). Public Law 106-169 established the John H. Chafee Foster Care Independence Program, which required ACF to develop a data collection system, the National Youth in Transition Database (NYTD). [More]

HHS OIG Report Finds Most States Anticipate Implementing Streamlined Eligibility and Enrollment by 2014

Federal Funds Information for States Identifies Reports Released by HHS and ACF
The U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) conducted a survey regarding states’ readiness to implement streamlined eligibility and enrollment systems for state health subsidy programs under the Affordable Care Act (ACA) [More]

PCG Health Helps Client State Obtain Level I Funding for Health Insurance Exchange

Boston, MA, January, 2013 – The U.S. Department of Health and Human Services (HHS) has awarded $1.5 billion to states to support health insurance marketplace building efforts. The Affordable Care Act (ACA) requires that each state have a health insurance exchange (Exchange) operating beginning in 2014. Among the grants awarded, the state of Delaware, a PCG Health client, has received two Level One Exchange Establishment Grants. [More]

OIG Reports on ACF Programs

The agenda for the Health and Human Services (HHS) Office of the Inspector General (OIG) for Federal Fiscal Year (FFY) 2012 was committed to completing the review of American Recovery and Investment Act of 2009 (ARRA) funding distributed across multiple programs and received by numerous state agencies as well as community action agencies (CAA). In FFY 2012, 23 reports were completed and posted for the Administration for Children and Families (ACF). [More]

HHS Issues Proposed Rules on Essential Health Benefits

The U.S. Department of Health and Human Services released draft proposed rules on November 20, 2012 outlining the “essential health benefits” that qualified health plans must cover to win certification from health insurance Exchanges for 2014. The rules are based on section 1302 of the Affordable Care Act, which requires that plans offered through Exchanges cover services within 10 EHB categories (emergency, hospitalization, maternity and new-born care, ambulatory, rehabilitative/habilitative, prescription drugs, pediatric services, preventive/wellness and chronic disease management, mental health/substance abuse, and laboratory services). [More]

ACF Schedules Title IV-Eligibility Reviews

The schedule for upcoming Title IV-E eligibility reviews is out and 11 states will be tested against Title IV-E regulations and standards to see how they measures up. On January 25, 2000, the Department of Health and Human Services (HHS) published a final rule in the Federal Register to establish a new ap¬proach to monitoring state child welfare programs. Under the rule, which be¬came effective March 25, 2000, states are assessed for substantial conformity with certain federal requirements for child protective, foster care, adoption, family preservation and family support, and independent living services. [More]

Motion Filed in CT Class Action Suit to Prevent Waiver Request to Impose Asset Test in Adult Medicaid Program

On October 18, 2012, legal assistance attorneys filed a motion for preliminary injunction attempting to prevent the Connecticut Medicaid state agency from seeking a waiver from the U.S. Department of Health and Human Services (DHHS) to institute an asset test in its adult Medicaid program. Connecticut chose to institute this program for low income adults and families without any minor children for one year in 2013 pursuant to an option permitted under the Affordable Care Act (ACA). The program becomes mandatory for all states under the ACA beginning in 2014 with 100% federal reimbursement.