Healthcare Finance News July 11, 2019
The Centers for Medicare and Medicaid Services has proposed rescinding a rule issued under the Obama Administration requiring states to develop and submit an access monitoring review program every three years.
The review program is to ensure that Medicaid beneficiaries have access to care.
But state officials indicated to CMS that the rule was outdated, as it only applies to services delivered through fee-for-service programs, while the majority of Medicaid beneficiaries are now served through managed care.
Instead, CMS plans to replace the ongoing reviews with a more comprehensive and outcomes-driven approach to monitor beneficiary access across delivery systems. This would be developed through workgroups and technical expert panels of state and federal stakeholders.
CMS is also issuing guidance to...
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