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)
- Read Tricia Brooks’ blog on quality strategy and quality rating systems
- Read Leo Cuello’s blog on State Directed Payments