CMS Announces “Targeted” Discretion in Enforcing Medicaid Managed Care Rule Deadlines

On June 30, CMS issued an Informational Bulletin announcing that it will use “targeted” enforcement discretion to work with states that are unable to meet the Medicaid managed care rule’s original deadlines for compliance, particularly those rules that take effect […]

CMS Issues Final Rule Limiting New Pass-Through Payments

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 […]

CMS Issues First FAQs on Medicaid Managed Care Rule

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 […]

CMS Releases 2017 Medicaid Managed Care Rate Development Guide, but New Provider Payment Provisions Remain to be Addressed

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 […]

CMS Sends Medicaid Pass-Through Payment Proposed Rule to OMB

Oct. 19, 2016: CMS submitted to the Office of Management and Budget for review a proposed rule that would presumably limit the ability of states to create new or increased pass-through payments to providers in their Medicaid managed care programs. […]

CMS releases guidance on Pass-Through Payments in Medicaid Managed Care

July 29, 2016: CMS releases guidance on Pass-Through Payments in Medicaid Managed Care

CMS Holds Webinar on Managed Care Provider Payments

July 12, 2016: CMS Holds Webinar on Plan and Provider Payments under New Medicaid Managed Care Rule