Director, Managed Care Group

0938-AV69 202510 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 Managed Care State Directed Payments and Medicaid Fee-For-Service Targeted Medicaid Practitioner Payments (CMS-2449)

This rule would propose to modify the limit on the total payment rate and other requirements for state directed payments in Medicaid Managed Care. CMS would propose these changes to comply with Section 71116 of the One Big Beautiful Bill Act, known as the Working Families Tax Cut (WFTC) legislation, as well as the Presidential Memorandum, "Eliminating Waste, Fraud, and Abuse in Medicaid” issued June 6, 2025. This rule also proposes to set a limit for certain targeted Medicaid practitioner payments in Medicaid fee-for-service.

]]> Economically Significant Previously Published in The Unified Agenda Proposed Rule Stage Yes No Other 42 CFR 438 42 U.S.C. 1302 Pub. L. 119-21, Sec 71116 No NPRM 07/00/2026 Undetermined Federal State No No No John Giles Director, Managed Care Group 0938 Centers for Medicare & Medicaid Services CMS 410 786-1255 john.giles1@cms.hhs.gov Center for Medicaid and CHIP Services, 7500 Security Boulevard, Baltimore MD 21244