SNAP urges CMS not to finalize steep 340B reimbursement reductions, not to accelerate the 340B remedy offset in a manner that creates sudden financial disruption, not to expand site-neutral payment reductions without meaningful safety-net exemptions, and to implement the new provider-based NPI and attestation requirements in a way that avoids unnecessary administrative burden and payment disruption.

SNAP advocates for CMS to preserve uniform percentage increase State Directed Payments, apply SDP payment limits in the aggregate by service rather than at the hospital or class level, and permit states to use a simpler Medicare cost-report-based methodology for estimating what Medicare would have paid for Medicaid services.

SNAP argued against CMS’s insufficient Medicare inpatient payment update and proposed DSH payment cuts.  SNAP also highlighted in this letter the unique impact on safety-net providers if CMS were to expand the post-acute transfer policy and make the new CJR-X model mandatory for selected hospitals.

SNAP has asked Pennsylvania’s congressional delegation to support provisions in the federal FY 2023 omnibus spending bill that would delay a Medicare sequestration cut, restore reduced Medicare payments to doctors, and improve how Medicare Advantage insurers handle prior authorization requests.

SNAP has asked members of Pennsylvania’s congressional delegation to support efforts to delay implementation of a new four percent Medicare sequestration cut, protect doctors from a 4.5 percent Medicare payment reduction, and streamline the prior authorization process used by Medicare Advantage plans.