What Are The Major Provisions Of The 2016 CMS Medicaid Managed Care Final Rule?: An OPEN MINDS Market Intelligence Report

On April 25, 2016, the federal Centers for Medicare & Medicaid Services (CMS) released the final rules for Medicaid managed care plans – Medicaid and Children’s Health Insurance Program (CHIP) Programs; Medicaid Managed Care, CHIP Delivered in Managed Care, and Revisions Related to Third Party Liability: RIN 0938-AS25: 42 CFR Parts 431, 433, 438, 440, 457 and 495. The rules, which were originally released in May 2015 for public comment, are a comprehensive update of the standards and provisions that govern Medicaid and CHIP managed care plans.

The report reviews the major provisions of the law and answers a . . .