NHeLP Summary of Proposed Access and Managed Care Rules

Executive Summary

Last week, the Centers for Medicare and Medicaid Services (CMS) released two proposed rules intended to improve access to care, quality and health outcomes, and address health equity issues. The first, Medicaid Program: Ensuring Access to Services (Access Rule), addresses in Medicaid fee-for-service, managed care, and HCBS program. The second, Medicaid and Children’s Health Insurance Program (CHIP) Managed Care Access, Finance, and Quality, (Managed Care Rule) is aimed at managed care enrollees in the Medicaid and CHIP programs. Here are some highlights of these proposed regulations.

For more information and detail, including effective dates, see this fact sheet from CMS.