by keith | Nov 8, 2018 | Directed Payments, Medicaid Managed Care, Medicaid Managed Page, News and Updates, Rulemaking
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...
by keith | Nov 2, 2017 | Directed Payments, Medicaid Managed Care, Medicaid Managed Page, News and Updates
CMS released additional guidance to states on development and approval of “directed payments”—payments that the state directs its managed care plans to make to identified classes of providers through their managed care contracts. CMS newly defined this concept in its...
by keith | Feb 1, 2017 | Directed Payments, Medicaid Managed Care, Medicaid Managed Page, News and Updates, Rulemaking
Just prior to the end of the Obama administration, on January 18, 2017, CMS published a final rule limiting the ability of states to create new or increased pass-through payments to providers in their Medicaid managed care programs. The rule’s effective date was...
by keith | Nov 18, 2016 | Directed Payments, Medicaid Managed Care, Medicaid Managed Page, News and Updates, Rulemaking
CMS issues proposed rule that would limit the ability of states to create new or increased pass-through payments to providers in their Medicaid managed care programs. In its final Medicaid managed care rule issued last spring, CMS had explicitly allowed states to...
by keith | Nov 10, 2016 | Directed Payments, Medicaid Managed Care, Medicaid Managed Page, News and Updates
On Nov. 10, 2016, CMS issued its first set of Frequently Asked Questions on the Medicaid Managed Care Final Rule published in May. For more information on the Final Rule and the latest explanatory guidance, see our Medicaid Managed Care Resources Page. ...
by keith | Oct 27, 2016 | Medicaid Managed Care, Medicaid Managed Page, News and Updates
Oct. 27, 2016: CMS has issued its Medicaid Managed Care Rate Development Guide for rating periods starting between January 1, 2017 and June 30, 2017. A number of critical provisions from the new regulations, including provisions related to special contract provisions...
