Issue Brief 3: Medicaid Managed Care Regulations: Network Adequacy & Access

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 network adequacy and access to services in Medicaid managed care. We also include recommendations to help state advocates ensure robust implementation of these provisions in their states. These recommendations are highlighted throughout and also listed at the end of this brief.