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AHIP Detailed Comments On CMS Proposed Rule: Medicaid Program; Medicaid And Children’s Health Insurance Plan (CHIP) Managed Care

posted by AHIP

on January 14, 2019

In the 2016 Medicaid Managed Care Final Rule, CMS required states to certify and obtain CMS approval of specific managed care rates within each rate cell, beginning with rate periods on or after July 1, 2018. The 2016 Final Rule prohibited the use of rate ranges, a method by which states formerly would obtain approval for a range of possible rates that they could apply to managed care contracts.