Series: Improving Access and Managed Care in Medicaid and CHIP

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. Below is a compilation of all the resources we have published on these new rules. This list was last updated on May 13, 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)

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