Healthcare Finance News November 12, 2018
Susan Morse

Proposed changes include rate range flexibility and adding new delivery models such as telehealth.

The Centers for Medicare and Medicaid Services has proposed regulatory revisions to Medicaid managed care to streamline the program, relieve regulatory burden, support state flexibility and promote transparency, flexibility, and innovation.

The proposed changes address stakeholder concerns from a 2016 final rule. CMS is accepting comment for 60 days.

One issue the agency is not modifying in the rule is a limitation of 15 days length of stay for managed care beneficiaries in an institution for mental health treatment. States said this created administrative challenges.

Instead, the agency is asking states to submit data that could support revisions to this...

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Topics: CMS, Govt Agencies, Insurance, Medicaid, Payer, Provider, Regulations, States, Technology, Telehealth
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