Key Resources on Medicaid Managed Care

CMS Published Rules and Regulations

  • Proposed Rule on New Pass-Through Payments
  • CMS 2016 Final Medicaid Managed Care Rule
  • CMS 2015 Proposed Medicaid Managed Care Rule
  • CMS 2002 Final Medicaid Managed Care Rule
  • CMS 2001 Proposed Medicaid Managed Care Rule

 

CMS Guidance

  • CMS 2017 Medicaid Managed Care Rate Development Guide (read more…)
  • July 2016 Pass-Through Payment Guidance Letter (announcing intent to prohibit new and increased pass-through payments)
  • CMS 2016 Medicaid Managed Care Rate Development Guide
  • CMS Summary of Implementation Dates for Final Rule Provisions
  • CMS Webinars and Resources on 2016 Final Medicaid Managed Care Rule
  • CMS Guide to Managed Care Contract Review
  • FAQs on Final Rule (November 10, 2016)
  • Marketing Regulations Fact Sheet