Navigating the Final CMS Medicaid Managed Care Rule (CMS-2439-F)

HIT Consultant July 29, 2024
Gary Jessee, Senior Vice President of Sellers Dorsey

On April 22, 2024, the Centers for Medicare & Medicaid Services (CMS) released the final rule, Medicaid Program; Medicaid and Children’s Health Insurance Program (CHIP) Managed Care Access, Finance, and Quality. The rule aims to promote consistency and transparency, with an increased focus on improving access, driving quality, and advancing equity for Medicaid beneficiaries. CMS has been moving in this direction for several years, and states managed care organizations, and providers have been keeping a close eye on the finalization of the rule since it was proposed in May 2023. Now that the rule is final, stakeholders need to prepare for its wide variety of implications including how it will change standards for access, finance, and quality within the Medicaid...

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