NACDS: Access to Care Provision Part of CMS’ Medicaid Managed Care Final Rule

From our friends at NACDS:

Access to Care Provision Part of CMS’ Medicaid Managed Care Final Rule

Final rule includes NACDS-backed provision to strengthen patient access to care

NACDS applauds the Center for Medicare & Medicaid's (CMS) inclusion of network adequacy standards—which would improve patient access to care in Medicaid and the Children’s Health Insurance Program (CHIP)—in the Medicaid and CHIP Managed Care final rule the agency released on April 21. The final rule marks the first major overhaul of the Medicaid and CHIP programs in more than a decade, and seeks to align key rules with other healthcare coverage programs. In order to strengthen access to care, the final rule requires states to establish network adequacy standards in Medicaid and CHIP managed care for key providers—including pharmacy—if their services are covered under the Medicaid contract, and the pharmacy network is consistent with the access standards for delivery networks.... Read more at NACDS

 

 
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