The move comes as CMS has approved work requirements for Medicaid programs in various states. The decision to reject lifetime caps indicates the measure may be too hardlined for CMS, according to the report.
“We have determined that we will not approve Kansas’ recent request to place a lifetime limit on Medicaid benefits for some beneficiaries,” CMS Administrator Seema Verma said May 7 during a speech at an American Hospital Association meeting. “We seek to create a pathway out of poverty, but we also understand that people’s circumstances change, and we must ensure that our programs are sustainable and available to them when they need and qualify for them.”
Due to an internal disagreement over the lifetime benefit cap, CMS abruptly canceled a May 1 appearance that was set to reject Kansas’ waiver.
More articles on payer issues:
Why a joint venture between a payer and provider can create a radically different member health experience
3 standout quotes on payer digital strategy
Bon Secours teams up with VCU Health and its health plan for 4 ACA marketplace products
Becker’s 3rd Annual Fall Chief Pharmacy Officer Summit is the top tier event that the people leading the future of pharmacy convene. This 3-day event is built specifically for Chief Pharmacy Officers and senior pharmacy leaders. The sessions examine the workforce, financial and clinical priorities shaping pharmacy today. Becker’s is where candid discussions flourish and new ideas thrive. Becker's 3rd Annual Fall Chief Pharmacy Officer Summit