Issue Brief 7: Medicaid Managed Care Final Regulations: BSS

Executive Summary

Senior Attorney Elizabeth Edwards provides analysis and guidance on the updated rule regarding managed care plans in Medicaid, and how it relates to new requirements around beneficiary support systems (BSS). Edwards explains that the updated rule, adopted this year by the U.S. Department of of Health and Human Services (HHS), offers “many opportunities for advocates to push states to improve Medicaid beneficiaries’ experiences in managed care.” Edward’s provides tips for robust implementation of the support systems in the states for health care advocates in this seventh Issue Brief in a series examining the first significant changes to managed care in Medicaid in more than a decade.