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November 8, 2018

CMS Released Proposed Medicaid Managed Care Rule

On November 8, 2018, CMS released proposed regulations to amend the 2016 Medicaid Managed Care Rule. The proposed rule would allow states to establish new 3-year pass-through payments for populations transitioning into managed care, streamline the approval process for directed payments based on state plan rates, codify guidance allowing for multi-year approval of certain payment arrangements and permit states to certify rate ranges as actuarially sound in certain circumstances. CMS notes that these revisions are intended to support the Administration’s 3-pronged strategy of flexibility, accountability, and program integrity.