CMS proposes changes to managed Medicaid, CHIP: 7 things to know

Becker's Healthcare November 8, 2018
Morgan Haefner

CMS issued a proposed rule Nov. 8 aimed at overhauling its 2016 managed care regulations for Medicaid and the Children’s Health Insurance Program.

Here are seven things to know:

1. Under managed care systems, states contract with private health insurers to administer Medicaid and CHIP plans. In 2016, more than two-thirds of Medicaid beneficiaries were in a managed care plan, and states are continuing to expand their use of managed care contracts.

2. CMS said it worked with the National Association of Medicaid Directors and state Medicaid directors to review and analyze current regulations. Their proposed changes aim to create more flexibility and target provisions that states and stakeholders said are costly and burdensome.

3. Among the proposals, CMS...

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