CMS Offers Hints On How It May Update Medicaid Managed Care Regs Next Year

CMS next year will likely propose the first revisions to the Medicaid managed care regulations in 12 years, a CMS official said Tuesday (Oct. 28) at a Medicaid Health Plans of America conference. CMS Director of the Division of Managed Care Plans James Golden described the principles behind the envisioned changes, which include aligning Medicaid managed care with other public programs; protecting patients, clarifying capitation rate expectations and incorporating laws that have been passed since the regulation were written. The...