Proposed Rule For Medicaid Managed Care, CHIP Delivered in Managed Care, Medicaid and CHIP Comprehensive Quality Strategies, and Revisions related to Third Party Liability

On May 26, 2015, the federal Centers for Medicare & Medicaid Services (CMS) released this proposed rule on Medicaid and Children’s Health Insurance Program (CHIP) managed care regulations. The provisions are intended to update the programs’ rules and strengthen the delivery of quality care for beneficiaries. A key goal is to better align Medicaid and CHIP managed care rules and practices with those of other payers. In a notable policy change, CMS proposed allowing reimbursement (limited to stays of 15 days or less) for services provided to adults by inpatient and residential facilities considered institutions of mental disease (IMDs . . .