Upcoming Medicaid Managed Care Regulations — How Do You Stack Up?

By Roshni Arora, Randy Whiteman, and Hanford Lin

It has been almost two years since the Centers for Medicare & Medicaid Services (CMS) released its Medicaid and CHIP Managed Care Final Rule in 2016. With several key milestones coming up on July 1, 2018, and July 1, 2019, we prepared a cheat sheet to help states stay on track with upcoming requirements and timelines.

Rather than following a “check the box” compliance approach, states should develop an overall compliance strategy that aligns with the Medicaid managed care program design specific to the state to drive value from the program.

Guidehouse will continue to update this cheat sheet for states, as we anticipate changes from CMS when they conduct a full review of the managed care regulations and issue a proposed rule in August of 2018.


Download the checklist

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