Center For Medicaid & CHIP Services Informational Bulletin: The Use Of New Or Increased Pass-Through Payments In Medicaid Managed Care Delivery Systems

On July 29, 2016, the federal Department of Health and Human Services released this information bulletin regarding the use of new or increased pass-through payments in Medicaid managed care delivery systems. The purpose of this informational bulletin is to address questions regarding the ability of states to increase or add new pass-through payments under Medicaid managed care plan contracts and capitation rates, and to describe CMS’'s plan for monitoring the transition of pass-through payments to approaches for provider payment under Medicaid managed care programs that are based on the delivery of services, utilization, and the outcomes . . .