NAMD supports CMCS ruling to drop previous managed care beneficiary requirements regarding fee-for-service

April 26, 2016

NAMD says the Centers for Medicaid and CHIP Services (CMCS) finalized its ruling on managed care reimbursement regulations with aims of strengthening them to ensure managed care plays a bigger role in the Medicaid program. The CMCS rule is meant to improve federal standards for both state Medicaid programs and health plans. The rule drops a prior requirement that a managed care beneficiary should be enrolled in a fee-for-service health care delivery model for 14 days before being eligible for managed care programs. The Medicaid program covers the costs of services in Institutions for mental disease among managed care enrollees. The ruling also establishes the opportunity for more improvement and reform within the managed care space, according to NAMD.