0938-AS61 201504 Unified Agenda of Federal Regulatory and Deregulatory Actions 0938 Centers for Medicare & Medicaid Services CMS 0900 Department of Health and Human Services HHS Medicaid State Payment Adjustment (CMS-2393-P)

The Social Security Act requires States to have methods and procedures in place to ensure Medicaid payments are consistent with efficiency, economy, and quality of care. This proposed rule would set forth additional requirements to ensure supplemental payments made for all Medicaid services are economic and efficient. Specifically, this rule would require all supplemental payments be distributed proportional to the volume or cost of services delivered or be tied to meeting performance benchmarks, place a time limit on all supplemental payments, and require States to report additional details regarding supplemental payments when submitting claims of State Medicaid expenditures for Federal Financial Participation to provide a consistent and comprehensive data source by which the benefit or the value added to the Medicaid program can be assessed.

]]> Other Significant First Time Published in The Unified Agenda Proposed Rule Stage Undetermined No 42 CFR 447 42 U.S.C. 1396 No NPRM 11/00/2015 No No Federal State No No No Linda O'Hara Health Insurance Specialist 0938 Centers for Medicare & Medicaid Services CMS 410 786-8347 linda.ohara@cms.hhs.gov Center for Medicaid and CHIP Services, MS: S3-14-28, 7500 Security Boulevard, Baltimore MD 21244 Christopher Thompson Deputy Director, Division of Reimbursement Policy, Financial Management Group 0938 Centers for Medicare & Medicaid Services CMS 410 786-4044 christopher.thompson@cms.hhs.gov Center for Medicaid and CHIP Services, MS: C4-26-05, 7500 Security Boulevard, Baltimore MD 21244