Becker's Healthcare April 23, 2024
CMS has published two final rules designed to expand access in the Medicaid fee-for-service and managed care programs.
The rules align requirements in the Children’s Health Insurance Program with the Medicaid program and cement various changes to state directed payments, including codifying state flexibility for directed payments to match the average commercial rate, according to the American Hospital Association.
The AHA commended CMS for recognizing the key role hospitals play in state Medicaid financing and the importance of supplemental payments to sustain beneficiary access to care amid low Medicaid base payment rates, including rates paid through commercial payers.
“We applaud CMS’ recognition that hospitals treat all patients the same — regardless of coverage — by formally adopting...
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