United States

Updating Medicaid managed care: A new CMS rule for quality, transparency, and integrity

Jul 31, 2016
From the Government Institute

In the spring of 2016, the Centers for Medicare & Medicaid Services (CMS) finalized a landmark regulation governing Medicaid and Children's Health Insurance Program (CHIP) managed care programs. This rule represents a major update to requirements for how state governments contract with and oversee Managed Care Entities that offer Medicaid and CHIP products.

This issue brief summarizes the final rule and outlines the implications for state Medicaid programs.