Maria Casoni

May 13, 2024 | healthaffairs.org | Sara Rosenbaum |Maria Casoni

On April 22, the HHS Centers for Medicare and Medicaid Services (CMS) published a regulating the use of managed care in Medicaid and CHIP. The official Federal Register version was published on May 10 (89 Fed. Reg. 40542); the nearly-900-page rule is a daunting read. The managed care rule’s importance can hardly be overstated. As of 2022, three-quarters of states relied on managed care as a basic element of their Medicaid state plan administration.

Jun 15, 2023 | healthaffairs.org | Sara Rosenbaum |Alexander Somodevilla |Maria Casoni |MaryBeth Musumeci

On May 3, the Centers for Medicare & Medicaid Services (CMS) published a proposed rule (88 Fed. Reg. 28092) governing Medicaid managed care. On the same day, the administration also published a separate access rule addressing fee-for-service (FFS) rate transparency and other policies relating to home and community based services. Comments on both rules are due July 3. This analysis addresses the managed care rule, which also references the FFS changes.