HealthIT Answers June 7, 2024
By Chris Emper, Government Affairs Advisor, NextGen Healthcare
On April 22, the Centers for Medicare and Medicaid Services (CMS) released an 895-page final regulation titled, “Medicaid and Children’s Health Insurance Program (CHIP) Managed Care Access, Finance, and Quality.” The regulation applies to Medicaid managed care plans with CMS’s goal being to “improv[e] access to care, accountability and transparency for the more than 70 percent of Medicaid and CHIP beneficiaries who are enrolled in a managed care plan.”
At nearly 900-pages in length, this rule creates a list of new compliance obligations for managed care plans, including a provision that expands network adequacy requirements to create appointment wait time standards.
Maximum appointment wait time standards
Starting in 2027, the rule establishes...
Today's Sponsors
Today's Sponsor