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Thursday, July 30, 2015

Families USA Submits Comments to CMS on the Medicaid Rules

Andrea Callow

Associate Director of Medicaid Initiatives

On May 26, the Centers for Medicare and Medicaid Services proposed a major overhaul of the regulations governing Medicaid managed care plans, the first in a decade. Families USA has spent the summer combing through the proposed regulations, and recently submitted our comments.

The regulations cover a wide variety of issues that affect Medicaid enrollees. While we praise CMS for improved network adequacy standards and updated enrollment rules, we suggest strengthening provisions concerning plan medical loss ratio and appeals and grievances.

It is unclear when the final rule will be issued. We hope to see final regulations out within the next several months.

Click here to see our comments.