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HHS/CMS RIN: 0938-AU69 Publication ID: Spring 2021 
Title: ●Medicaid Managed Care Risk-Sharing Mechanisms (CMS-2443) 

On November 13, 2020, CMS finalized Medicaid managed care rulemaking that prohibited States from adding or modifying risk-sharing arrangements after a contract rating period had begun, including a risk mitigation arrangement.  This rule proposes to apply the prohibition on adding or modifying a risk mitigation arrangement after the start of the rating period, to prospective Medicaid managed care contract rating periods.

Agency: Department of Health and Human Services(HHS)  Priority: Economically Significant 
RIN Status: First time published in the Unified Agenda Agenda Stage of Rulemaking: Proposed Rule Stage 
Major: Yes  Unfunded Mandates: No 
CFR Citation: 42 CFR 438   
Legal Authority: 42 U.S.C. 1302   
Legal Deadline:  None
Action Date FR Cite
NPRM  06/00/2021 
Regulatory Flexibility Analysis Required: No  Government Levels Affected: State 
Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
John Giles
Director, Division of Managed Care Policy
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Medicaid and CHIP Services, MS: S2-01-16, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-1255