The Centers for Medicare & Medicaid Services yesterday released updated guidance for states submitting Medicaid managed care contracts for review. The guide incorporates changes included in the 2020 Medicaid and Children’s Health Insurance Program managed care final rule pertaining to pass-through payments, state-directed payments, network adequacy standards, risk sharing mechanisms, appeals and grievances, and requirements for beneficiary information. It also covers standards used to review and approve state Medicaid contracts with prepaid inpatient and ambulatory health plans, primary care case management entities and health insuring organizations.

Related News Articles

Blog
A recent op-ed in the online publication STAT (Turn off the spigot for hospitals’ COVID-19 relief funding) contains blatant factual inaccuracies but also omits…
Headline
The Centers for Medicare & Medicaid Services Friday released updated guidance on COVID-19 vaccination coverage and reimbursement to help Medicaid, Children…
Headline
The Centers for Medicare & Medicaid Services today approved state plan amendments allowing Tennessee and South Carolina to extend postpartum coverage from…
Headline
The Government Accountability Office today named four new members to the Medicaid and CHIP Payment and Access Commission, which advises Congress on issues…
Headline
Robust outreach and enrollment efforts, and standards and payments that ensure timely and equitable access to quality care are critical to a comprehensive…
Headline
Michigan yesterday became the second state to extend postpartum coverage from 60 days to 12 months after pregnancy for Medicaid and Children’s Health Insurance…