In May 2016, the Centers for Medicare & Medicaid Services (CMS) completed its modernization of the regulations governing managed care in Medicaid and the Children’s Health Insurance Program (CHIP). One of CMS’ primary goals in this regulatory overhaul is to promote transparency, enabling policy makers, beneficiaries, providers, and other stakeholders to better understand and monitor […]
By Colin Reusch, Senior Policy Analyst with the Children’s Dental Health Project, and Joan Alker, Executive Director of the Center for Children and Families Introduction Fulfilling the Promise of Children’s Dental Coverage is the second brief in our Future of Children’s Health Coverage series. The brief, coauthored by Colin Reusch with the Children’s Dental Health Project, […]
While the rules governing Medicaid/CHIP managed care remained unchanged for more than a decade, significant advances have been made in assessing quality, access, and timeliness of care in health coverage programs. During this time, there has been a growing recognition of the need to ensure that the care delivered through capitated managed care arrangements is […]
Attached are the comments we submitted to CMS on the Medicaid Eligibility Quality Control and Payment Error Rate Measurement Programs rule.
(Updated August 2021) The Affordable Care Act, Medicaid and the Children’s Health Insurance Program have made historic progress in reducing the child uninsured rate. Yet some families continue to have difficulty affording coverage and getting their children the care they need. In June of 2016, the Center for Children and Families launched a series of […]
Georgetown University Center for Children and Families (CCF) and the National Health Law Program (NHeLP) have teamed up to bring advocates for children and low-income families critical information about the recently finalized Medicaid and CHIP managed care regulations. This paper is the fourth in the series, and it describes how the new rules assure network […]
