CMS Issues Major Medicaid Managed Care Proposed Rule
Posted on Tuesday, June 16, 2015 2:23 PM
CMS has issued a major proposed rule that focuses on Medicaid managed care related to minimum operation standards, care delivery, quality of care, and more on June 1, 2015. More and more states are moving their Medicaid programs into one form or another of managed care, making the proposed rule one of the most important issued by CMS in years. Additionally, the proposal addresses Medicaid Managed Long-Term Services and Supports (MLTSS), making it of interest to the home care community.
NAHC advocates for the institution of federal standards to govern states shifting from a traditional fee-for-service (FFS) approach in Medicaid to a managed care delivery model. The need for such standards has increased since managed care plans have limited experience in providing the type of service that are the mainstay of MLTSS, including personal care.
to see the proposed rule.
to see a detailed analysis of the rule from NAHC.