Director, Division of Managed Care Plans

0938-AT40 201910 The Regulatory Plan and the Unified Agenda of Federal Regulatory and Deregulatory Actions 0938 Centers for Medicare & Medicaid Services CMS 0900 Department of Health and Human Services HHS Medicaid and CHIP Managed Care (CMS-2408-F)

This final rule advances CMS’ efforts to streamline the Medicaid and CHIP managed care regulatory framework and reflects a broader strategy to relieve regulatory burdens; support State flexibility and local leadership; and promote transparency, flexibility, and innovation in the delivery of care.

]]> Other Significant Previously Published in The Unified Agenda Final Rule Stage No No Deregulatory 42 CFR 438 42 CFR 457 42 U.S.C. 1302 Yes

This final rule advances CMS’ efforts to streamline the Medicaid and CHIP managed care regulatory framework and reflects a broader strategy to relieve regulatory burdens; support state flexibility and local leadership; and promote transparency, flexibility, and innovation in the delivery of care.

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Section 1102 of the Social Security Act (42 U.S.C. 1302).

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The HHS letter to the nation’s governors on March 14, 2017, committed to a review of the managed care regulations in order to prioritize beneficiary outcomes and state priorities. We reviewed the managed care regulations in accordance with this commitment.

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This rule is intended to streamline the federal requirements for Medicaid and CHIP managed care and is expected to reduce administrative burden and result in some estimated cost savings. The rule is not economically significant.

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The revisions of the regulations are intended to ensure that the regulatory framework is efficient and feasible for states to implement in a cost effective manner and addresses the risks identified in previous rulemaking. This would ensure that States operating State Medicaid and CHIP managed care programs can implement program and fiscal integrities without undue administrative burdens

]]> NPRM 11/14/2018 83 FR 57264 NPRM Comment Period End 01/14/2019 Final Action 11/00/2019 No Federal Local State Tribal No No No James Golden Director, Division of Managed Care Plans 0938 Centers for Medicare & Medicaid Services CMS 410 786-7111 james.golden@cms.hhs.gov Center for Medicaid and CHIP Services, MS: S2-14-26, 7500 Security Boulevard, Baltimore MD 21244