Earlier this year, the Center for Medicare & Medicaid Services (CMS) finalized two new regulations aimed at improving access to care for those enrolled in Medicaid and the Children’s Health Insurance Program (CHIP) across delivery systems. CCF experts summarize both rules in “An Explanation of Final Medicaid Managed Care and Access Rules“. Below is a compilation of additional resources CCF has published on these new rules. This list was last updated on August 8, 2024.

1: “Ensuring Access to Medicaid Services” (Access Rule)

• Read the full rule
• Read Kelly Whitener’s introductory blog
• Read Leo Cuello’s blog on Beneficiary Advisory Councils
• Read Kelly Whitener’s blog on provider payment rate transparency provisions.

2: “Medicaid, CHIP Managed Care Access, Finance, and Quality” (Managed Care Rule)

• Read the full rule
• Read Leo Cuello’s introductory blog
• Read Andy Schneider’s blog on specific access provisions
• Read Andy Schneider’s blog on specific transparency provisions
• Read Leo Cuello’s blog on provisions that update the definition and oversight of “In Lieu of Services” (ILOS)
• Read Tricia Brooks’ blog on quality strategy and quality rating systems
• Read Leo Cuello’s blog on State Directed Payments