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Network Adequacy for Medicaid Managed Care: New Standards under the Final Rule

By Marisa E. Adelson on May 18, 2016
Posted in Medicaid

The Medicaid Managed Care Final Rule addresses managed care plan network issues while preserving significant flexibility for the states in designing the standards.  The Rule adds a new regulation (42 C.F.R. § 438.68) on network adequacy standards for medical care and Long-Term Services and Supports (LTSS) as well as one related to availability of services…

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Crowell & Moring’s C&M Health Law blog is committed to providing real-time analysis and commentary on the latest developments in health care law and policy. Our attorney authors are part of a diverse and growing practice from coast to coast. We understand that health care organizations need legal representation that cuts directly to the heart of any issue, whether in litigation, government investigations, regulatory compliance, or business collaborations and acquisitions. Our lawyers have deep experience in health care antitrust, managed care, fraud and abuse (including Stark, anti-kickback and False Claims Act matters), and privacy litigation, among other key regulatory areas. For more on Crowell & Moring’s health care practice …

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