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

by keith | Jun 30, 2017 | News and Updates

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...

CMS Issues Final Rule Limiting New Pass-Through Payments

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...

CMS Issues First FAQs on Medicaid Managed Care Rule

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.  ...

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

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...

CMS Sends Medicaid Pass-Through Payment Proposed Rule to OMB

by keith | Oct 21, 2016 | Medicaid Managed Care, Medicaid Managed Page, News and Updates, Rulemaking

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.  The agency...
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