Issue Brief 2: Medicaid Managed Care Final Regulations Grievance & Appeals Systems

Executive Summary

This issue brief will review selected provisions in the final rule, Medicaid and Children’s Health Insurance Program (CHIP) Programs, Medicaid Managed Care, CHIP Delivered in Managed Care, and Revisions Related to Third Party Liability implementing the requirements governing grievance and appeals systems in Medicaid managed care (Subpart F of the final regulations). We also include recommendations for state advocates to ensure robust implementation of these provisions to ensure full implementation of these crucial provisions in their states.