On May 6, 2016, CMS published the Medicaid managed care final rule in the Federal Register. The Final Rule overhauls Medicaid managed care for the first time in 14 years and tracks many of the industry-wide developments that followed enactment of the ACA. Given the breadth of the rule, Crowell & Moring is covering it in a series of client alerts and blog posts. Part I covers the Final Rule’s medical loss ratio and actuarial soundness provisions. Part II addresses CMS’s novel approach to using Medicaid funds to provide coverage for inpatient stays at institution for mental diseases. Part III covers network adequacy. Stay tuned for future updates.
8/5/16: Please click here for newly released updates.