Families USA's Medicaid Fiscal Accountability Regulation Comment Letter - Families Usa Skip to Main Content

Families USA’s Medicaid Fiscal Accountability Regulation Comment Letter


For more than 50 years, the Medicaid program provides various ways in which states can pay for part of their share of Medicaid spending outside of use of general funds. Recently proposed regulations – the Medicaid Fiscal Accountability Rule (MFAR) – from the Centers for Medicare and Medicaid Services (CMS) seeks to improve transparency regarding how states finance the non-federal share of Medicaid spending. Unfortunately, the rule would substantially curtail certain financing arrangements and supplemental payments.  Families USA provided official comments on this regulation.

While we appreciate the administration’s interest in ensuring program integrity, the vagueness of the rule, its lack of required impact assessment, and the potentially disastrous consequences of the rule on beneficiary access to care dictate that are strongly urging CMS to withdraw the regulation in its entirety.

Click the button below to read the full comment letter.