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HHS/CMS RIN: 0938-AT41 Publication ID: Fall 2018 
Title: Methods for Assuring Access to Care; Exceptions for High Managed Care Penetration and Rate Reduction Threshold (CMS-2406-F) 
Abstract:

This final rule provides an exception to the requirements for documenting Medicaid fee-for-service access to care for States with high managed care penetration rates.  The rule also sets a threshold for rate reductions and restructuring that are not subject to the analysis, monitoring, and public processes required for larger reductions.

 
Agency: Department of Health and Human Services(HHS)  Priority: Other Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Final Rule Stage 
Major: No  Unfunded Mandates: No 
EO 14192 Designation: Deregulatory 
CFR Citation: 42 CFR 447   
Legal Authority: 42 U.S.C. 1302   
Legal Deadline:  None
Timetable:
Action Date FR Cite
NPRM  03/23/2018  83 FR 12696   
NPRM Comment Period End  05/22/2018 
Final Action  03/00/2019 
Regulatory Flexibility Analysis Required: No  Government Levels Affected: Federal, State 
Small Entities Affected: No  Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Jeremy Silanskis
Director, Division of Reimbursement and State Financing
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Medicaid and CHIP Services, MS: S3-14-28, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-1592
Email: jeremy.silanskis@cms.hhs.gov