Medicaid Managed Care Proposal Gives States Network Adequacy Leeway

CMS is seeking to give states more freedom to define network adequacy in Medicaid managed care and to set the capitation rates paid to Medicaid plans. Those changes are included in a highly anticipated proposed rule released Thursday (Nov. 8) that would revamp the Medicaid managed care regulations adopted by the Obama administration in 2016. The proposed rule is aimed at easing various requirements that were implemented under the 2016 rule and that states and stakeholders have found overly prescriptive,...