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HHS/CMS | RIN: 0938-AS25 | Publication ID: Spring 2015 |
Title: Medicaid Managed Care, CHIP Delivered in Managed Care, and Revisions Related to Third Party Liability (CMS-2390-P) | |
Abstract:
This proposed rule would modernize the Medicaid managed care regulations to reflect changes in the usage of managed care delivery systems. The proposed rule would align the rules governing Medicaid managed care with those of other major sources of coverage, including coverage through Qualified Health Plans and Medicare Advantage plans; implement statutory provisions; strengthen actuarial soundness payment provisions to promote the accountability of Medicaid managed care program rates; ensure appropriate beneficiary protections and enhance expectations for program integrity. This rule would also implement provisions of the Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA) and addresses third party liability for trauma codes. |
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Agency: Department of Health and Human Services(HHS) | Priority: Economically Significant |
RIN Status: Previously published in the Unified Agenda | Agenda Stage of Rulemaking: Proposed Rule Stage |
Major: Yes | Unfunded Mandates: No |
CFR Citation: 42 CFR 430 42 CFR 431 42 CFR 438 | |
Legal Authority: 42 U.S.C. 1302 |
Legal Deadline:
None |
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Timetable:
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Additional Information: Includes Retrospective Review under E.O. 13563. | |
Regulatory Flexibility Analysis Required: No | Government Levels Affected: Federal, State, Tribal |
Small Entities Affected: Businesses, Governmental Jurisdictions, Organizations | Federalism: No |
Included in the Regulatory Plan: No | |
RIN Data Printed in the FR: No | |
Agency Contact: Meg Barry Health Insurance Specialist Department of Health and Human Services Centers for Medicare & Medicaid Services Center for Medicaid and CHIP Services, MS S2-01-16, 7500 Security Blvd, Baltimore, MD 21244 Phone:410 786-1536 Email: margaret.barry@cms.hhs.gov |