In first major changes to managed care requirements in over a decade . . .

CMS Managed Care Rule Sets Up Quality Ratings System In Medicaid, CHIP

April 25, 2016 at 10:02 PM
CMS will gradually phase in the first quality ratings system in Medicaid and CHIP, including network adequacy standards, starting in 2017, according to a final rule out Monday that marks the agency's first major overhaul of Medicaid managed care requirements in over a decade. The rule also drew praise from state Medicaid directors for tossing out the agency's unpopular 14-day fee-for-service period before beneficiaries' are auto-enrolled in Medicaid managed care, but Medicaid managed care plans are upset the agency didn't...


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