View Rule

This final rule removes the regulatory text that sets forth the previously required access monitoring review plan process for states to document whether Medicaid payments in fee-for-service delivery systems are sufficient to enlist enough providers to assure beneficiary access to covered care and services consistent with the Medicaid statute. States have raised concerns over the administrative burden associated with the previous regulatory requirements and asserted that the information required is not reflective of beneficiary access in the state. While we believe the previously required process can be a valuable tool for states to use to demonstrate the sufficiency of provider payment rates, we believe mandating states to collect the specific information as described excessively constrains states’ freedom to administer their Medicaid programs in the manner that is best for the individual state and its Medicaid beneficiaries.