Medicare and Medicaid eProgram

Earn up to 56.8 CLE Credits

Medicare and Medicaid payment policy is changing on several fronts. Medicaid financing faces substantial reform following the OBBBA, Medicare Advantage oversight and enforcement continue to intensify, and CMS is testing new models that alter how services are reviewed and paid.

Designed for attorneys, compliance officers, and reimbursement and finance professionals, the 2026 Medicare and Medicaid eProgram features presentations from officials with the Department of Health and Human Services (including the Office of the General Counsel, the Office of Inspector General, the Centers for Medicare & Medicaid Services, the Provider Reimbursement Review Board, and the Departmental Appeals Board), the Department of Justice, and state Medicaid agencies, together with experienced industry counsel and advisors.

Member Price: $695.00 | Nonmember Price: $995.00

Order Today

eProgram Highlights

  • Updates from HHS Office of the General Counsel, OIG, and CMS leadership, a Year in Review, and a panel of state Medicaid directors
  • Foundational sessions on Medicare Parts A and B, Medicaid, Medicare hospital cost reporting, and Medicaid supplemental payments
  • Advanced cost reporting and appeals strategy, including PRRB perspectives from the Board Chair and PRRB staff, and Medicare claim appeals with HHS adjudicators
  • Medicaid financing, managed care, and safety net provider issues following the OBBBA
  • Medicare Advantage medical necessity, fraud enforcement, and acute hospital perspectives on traditional Medicare versus Medicare Advantage
  • Payment updates on the Hospital Inpatient Prospective Payment System, Physician Fee Schedule and Part B, wage index and reclassifications, DSH, GME, and drug pricing, including IRA implementation, MFN policy, and 340B reform
  • Compliance and enforcement coverage of overpayments, administrative enforcement, provider-based status, DMEPOS enrollment and revocations, and civil rights compliance
  • The CMS Innovation Center’s WISeR Model, hospital care in the home, post-acute networks in risk-based models, and Medicare and Medicaid coverage of clinical trial costs
  • A legal ethics session on AI in litigation and government investigations

View the live program schedule to review more detailed descriptions for the complete list of sessions included in this eProgram.

Continuing Education

CLE: The maximum number of credits available for ON DEMAND is 47.3 (including 1.0 legal ethics) for a 60-minute state and 56.8 (including 1.2 legal ethics) for a 50-minute state.  Please note that the availability of credits may vary from state to state. This self-study course will be available for purchase for approximately one year after the recording date, but state rules on duration of eligibility for CLE-credits differ, so please check with your state before purchasing self-study offerings.

CPE: CPE credits are not available for on-demand ePrograms.

CCB: The Compliance Certification Board (CCB)® has approved this event for up to 55.3 NON LIVE CCB CEUs based on a 50-minute hour. Continuing Education Units are awarded based on individual attendance records. Granting of prior approval in no way constitutes endorsement by CCB of this event content or of the event sponsor.

For additional information, please visit the AHLA Continuing Education page.

You might also be interested in...

AHLA's Medicare 101 offers a self-paced, approximately six-hour introduction to Medicare coverage, reimbursement, fraud enforcement, and dispute resolution for professionals building a foundation in federal payment programs.